Efrusy, Mark

Efrusy, Mark is an individual health care provider with primary practice located at 701 Superior Ave Suite G, Munster IN 46321-4037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Efrusy, Mark can be contacted via phone (219) 922-3040.

Contact Information

Primary practice address
701 Superior Ave Suite G Munster IN 46321-4037
Fax: (219) 922-3048
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 02000882 Indiana

Profile Details

NPI number 1396844858
LBN Legal business name Efrusy, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 10th, 2013 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1396844858 NPPES
Illinois MEDICAID 036050964
Illinois MEDICAID 100201780A

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