Kandutsch, Mark A
Kandutsch, Mark A is an individual health care provider with primary practice located at 322 Main St , Bar Harbor ME 04609-1648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kandutsch, Mark A can be contacted via phone (207) 288-5081.Contact Information
Primary practice address
322 Main St
Bar Harbor ME 04609-1648
Phone: (207) 288-5081
Fax: (207) 288-8449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD10687 | Maine |
Profile Details
| NPI number | 1194795799 |
|---|---|
| LBN Legal business name | Kandutsch, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jun 23rd, 2017 - about 8 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 | 1194795799 | NPPES |
| Maine | MEDICAID | 101990099 | |
| Maine | Other | MD10687 |
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