Gonzalez, Mark Luis
Gonzalez, Mark Luis is an individual health care provider with primary practice located at 4000 Mitchellville Rd Ste B128 , Bowie MD 20716-3144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gonzalez, Mark Luis can be contacted via phone (301) 809-6305.Contact Information
Primary practice address
4000 Mitchellville Rd Ste B128
Bowie MD 20716-3144
Phone: (301) 809-6305
Fax: (301) 809-6306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | PENDING | Maryland |
Profile Details
| NPI number | 1356552426 |
|---|---|
| LBN Legal business name | Gonzalez, Mark Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Oct 23rd, 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.
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