Ennett, Mark A
Ennett, Mark A is an sole proprietor health care provider with primary practice located at 111 Continental Dr Suite 412, Newark DE 19713-4306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ennett, Mark A can be contacted via phone (302) 709-4497.Contact Information
Primary practice address
111 Continental Dr Suite 412
Newark DE 19713-4306
Phone: (302) 709-4497
Fax: (302) 733-0854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R129878 | Maryland |
Profile Details
| NPI number | 1922086248 |
|---|---|
| LBN Legal business name | Ennett, Mark A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922086248 | NPPES |
| Pennsylvania | Other | 10-9-1965 | DOB |
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