Iltis, Mark
Iltis, Mark is an sole proprietor health care provider with primary practice located at 2350 Regency Rd Ste A , Lexington KY 40503-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Iltis, Mark can be contacted via phone (859) 278-4960.Contact Information
Primary practice address
2350 Regency Rd Ste A
Lexington KY 40503-2351
Phone: (859) 278-4960
Fax: (859) 278-0033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 05248 | Kentucky |
Profile Details
| NPI number | 1952789430 |
|---|---|
| LBN Legal business name | Iltis, Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2015 |
| Last updated | Jun 2nd, 2023 - about last year |
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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