Faulk, Mark S.

Faulk, Mark S. is an individual health care provider with primary practice located at 3400 Loma Vista Rd Suite 7, Ventura CA 93003-3033. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Faulk, Mark S. can be contacted via phone (805) 654-1566.

Contact Information

Primary practice address
3400 Loma Vista Rd Suite 7 Ventura CA 93003-3033
Phone: (805) 654-1566
Fax: (805) 654-1262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU1856 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA3812 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X DA0083 Arizona

Profile Details

NPI number 1477552636
LBN Legal business name Faulk, Mark S.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477552636 NPPES
California MEDICAID AU0018560

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