Fritz, Mark J
Fritz, Mark J is an sole proprietor health care provider with primary practice located at 212 N Larkin Ave , Joliet IL 60435-6604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fritz, Mark J can be contacted via phone (815) 741-0666.Contact Information
Primary practice address
212 N Larkin Ave
Joliet IL 60435-6604
Phone: (815) 741-0666
Fax: (815) 741-0649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036099618 | Illinois |
Profile Details
| NPI number | 1669509550 |
|---|---|
| LBN Legal business name | Fritz, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 24th, 2008 - 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 | 1669509550 | NPPES |
| Illinois | MEDICAID | 036099618 |
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