Kearns, Mark Andrew

Kearns, Mark Andrew is an individual health care provider with primary practice located at Rr 1 Box 67 , Harlem MT 59526-9705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kearns, Mark Andrew can be contacted via phone (406) 353-3100.

Contact Information

Primary practice address
Rr 1 Box 67 Harlem MT 59526-9705
Fax: (406) 353-3229
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 363 Montana

Profile Details

NPI number 1841314705
LBN Legal business name Kearns, Mark Andrew
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2007
Last updated Feb 1st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841314705 NPPES
Montana Other 363 LICENSE

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