Enander, Mark Warren

Enander, Mark Warren is an sole proprietor health care provider with primary practice located at 333 School St Suite 203, Pawtucket RI 02860-5334. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Enander, Mark Warren can be contacted via phone (401) 725-8989.

Contact Information

Primary practice address
333 School St Suite 203 Pawtucket RI 02860-5334
Phone: (401) 725-8989
Fax: (401) 312-0029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00249 Rhode Island

Profile Details

NPI number 1285690610
LBN Legal business name Enander, Mark Warren
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jul 21st, 2022 - about 2 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 1285690610 NPPES
Rhode Island Other 2257 NHOOD #
Rhode Island Other 70665 NHOOD #
Rhode Island Other 2700154 NHOOD #
Rhode Island MEDICAID 9007066 NHOOD #
Rhode Island Other 203992 NHOOD #
Rhode Island Other 000249 NHOOD #

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