Freeborn, Mark Allen
Freeborn, Mark Allen is an individual health care provider with primary practice located at 12039 Ne 128Th St Ste 500 , Kirkland WA 98034-3029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Freeborn, Mark Allen can be contacted via phone (425) 899-4809.Contact Information
Primary practice address
12039 Ne 128Th St Ste 500
Kirkland WA 98034-3029
Phone: (425) 899-4809
Fax: (425) 899-4811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ML20007796 | Washington |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD60002211 | Washington |
Profile Details
NPI number | 1821107756 |
---|---|
LBN Legal business name | Freeborn, Mark Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Mar 24th, 2022 - about 3 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 | 1821107756 | NPPES |
Washington | Other | 0251103 | L & I |
Washington | Other | G8884369 | L & I |
Washington | Other | G8884368 | L & I |
Washington | Other | G8884370 | L & I |
Washington | Other | P00760994 | L & I |
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