Feldman, Mark S
Feldman, Mark S is an sole proprietor health care provider with primary practice located at 311 W Lincoln St Suite 100, Belleville IL 62220-1902. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Feldman, Mark S can be contacted via phone (618) 233-3661.Contact Information
Primary practice address
311 W Lincoln St Suite 100
Belleville IL 62220-1902
Phone: (618) 233-3661
Fax: (618) 233-0992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036058043 | Illinois |
Profile Details
| NPI number | 1497735708 |
|---|---|
| LBN Legal business name | Feldman, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Apr 18th, 2013 - about 11 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 | 1497735708 | NPPES |
| Illinois | Other | 371123307 | TAX ID # |
| Illinois | MEDICAID | 036058043 | TAX ID # |
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