Hart, Mark Ashley
Hart, Mark Ashley is an sole proprietor health care provider with primary practice located at 107 E Holland Ave , Spokane WA 99218-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hart, Mark Ashley can be contacted via phone (509) 466-3960.Contact Information
Primary practice address
107 E Holland Ave
Spokane WA 99218-1209
Phone: (509) 466-3960
Fax: (509) 466-9566
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP00001655 | Washington |
Profile Details
NPI number | 1013919927 |
---|---|
LBN Legal business name | Hart, Mark Ashley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Oct 19th, 2009 - about 15 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 | 1013919927 | NPPES |
Washington | MEDICAID | 1124858 | |
Washington | Other | 0200957 | |
Washington | Other | 0229080 |
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