Edlund, Mark James
Edlund, Mark James is an individual health care provider with primary practice located at 228 Shoup Ave W , Twin Falls ID 83301-5022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Edlund, Mark James can be contacted via phone (208) 734-6760.Contact Information
Primary practice address
228 Shoup Ave W
Twin Falls ID 83301-5022
Phone: (208) 734-6760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E-3275 | Arkansas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M-10108 | Idaho |
Profile Details
| NPI number | 1699850966 |
|---|---|
| LBN Legal business name | Edlund, Mark James |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Sep 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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