Ibsen, Mark S
Ibsen, Mark S is an sole proprietor health care provider with primary practice located at 39 Neill Ave , Helena MT 59601-3330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Ibsen, Mark S can be contacted via phone (406) 513-1052.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 7378 | Montana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7378 | Montana |
Profile Details
| NPI number | 1255378824 |
|---|---|
| LBN Legal business name | Ibsen, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 3rd, 2012 - about 12 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 | 1255378824 | NPPES |
| Montana | MEDICAID | 104958 |
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