Feldman, Mark R
Feldman, Mark R is an individual health care provider with primary practice located at 2551 S Smith Rd , Bloomington IN 47401-8943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Feldman, Mark R can be contacted via phone (812) 277-5311.Contact Information
Primary practice address
2551 S Smith Rd
Bloomington IN 47401-8943
Phone: (812) 277-5311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 37989 | Iowa |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01050576A | Indiana |
Profile Details
| NPI number | 1255325718 |
|---|---|
| LBN Legal business name | Feldman, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 26th, 2015 - about 9 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 | 1255325718 | NPPES |
| Indiana | MEDICAID | 200228890A |
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