Hainer, Mark Isadore
Hainer, Mark Isadore is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Avenue , Tacoma WA 98431-8561. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hainer, Mark Isadore can be contacted via phone (253) 968-6520.Contact Information
Primary practice address
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma WA 98431-8561
Phone: (253) 968-6520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OP60194415 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DOS-843 | Hawaii |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | OP60194415 | Washington |
Profile Details
| NPI number | 1255314944 |
|---|---|
| LBN Legal business name | Hainer, Mark Isadore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Apr 28th, 2019 - about 6 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 | 1255314944 | NPPES |
| Other | 0940HA | REGENCE BLUESHIELD | |
| MEDICAID | 1255314944 | REGENCE BLUESHIELD |
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