Gawel, Mark Steven
Gawel, Mark Steven is an individual health care provider with primary practice located at 6652 Saint Joe Rd , Fort Wayne IN 46835-1974. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Home Modifications, Other Service Providers / Vehicle Modifications. Other Service Providers / Contractor is his primary health care specialty. Gawel, Mark Steven can be contacted via phone (260) 485-7007.Contact Information
Primary practice address
6652 Saint Joe Rd
Fort Wayne IN 46835-1974
Phone: (260) 485-7007
Fax: (260) 486-7887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 8824 | Indiana |
| Other Service Providers / Home Modifications | 171WH0202X | 200802140 | Indiana |
| Other Service Providers / Vehicle Modifications | 171WV0202X | 200806100 | Indiana |
Profile Details
| NPI number | 1427160019 |
|---|---|
| LBN Legal business name | Gawel, Mark Steven |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jan 27th, 2014 - 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 | 1427160019 | NPPES |
| Indiana | Other | 20-3345786 | TAX ID |
| Indiana | MEDICAID | 200802140 A | TAX ID |
| Indiana | MEDICAID | 200806100 A | TAX ID |
| Indiana | Other | 610371770 | TAX ID |
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