Gunderson, Mark C

Gunderson, Mark C is an individual health care provider with primary practice located at 1155 Mill St , Reno NV 89502-1576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gunderson, Mark C can be contacted via phone (775) 982-4100.

Contact Information

Primary practice address
1155 Mill St Reno NV 89502-1576
Phone: (775) 982-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5330 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5330 Nevada

Profile Details

NPI number 1588623789
LBN Legal business name Gunderson, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 21st, 2010 - about 14 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 1588623789 NPPES
Nevada MEDICAID 002016815
Nevada MEDICAID 201660009
Nevada Other CC3683

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