Gustke, Mark Edward
Gustke, Mark Edward is an sole proprietor health care provider with primary practice located at 2900 Hawkins Dr , Searcy AR 72143-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gustke, Mark Edward can be contacted via phone (501) 278-2800.Contact Information
Primary practice address
2900 Hawkins Dr
Searcy AR 72143-4802
Phone: (501) 278-2800
Fax: (501) 268-3946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E1248 | Arkansas |
Profile Details
| NPI number | 1972778033 |
|---|---|
| LBN Legal business name | Gustke, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Jun 16th, 2020 - about 4 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 | 1972778033 | NPPES |
| Arkansas | MEDICAID | 188024001 |
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