Gacek, Mark Richard

Gacek, Mark Richard is an sole proprietor health care provider with primary practice located at 720 Hillcrest Rd Ste A , Mobile AL 36695-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gacek, Mark Richard can be contacted via phone (251) 340-7970.

Contact Information

Primary practice address
720 Hillcrest Rd Ste A Mobile AL 36695-3904
Phone: (251) 340-7970
Fax: (866) 873-8411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0002107 Alabama

Profile Details

NPI number 1073517769
LBN Legal business name Gacek, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Aug 24th, 2022 - about 2 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 1073517769 NPPES
Alabama Other 51134625 BC AL
Alabama MEDICAID 148969 BC AL

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