King, David Mark

King, David Mark is an individual health care provider with primary practice located at 480 Osborne Rd Ne Suite 220, Fridley MN 55432-2281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. King, David Mark can be contacted via phone (763) 786-1620.

Contact Information

Primary practice address
480 Osborne Rd Ne Suite 220 Fridley MN 55432-2281
Phone: (763) 786-1620
Fax: (763) 780-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 45762 Minnesota

Profile Details

NPI number 1417049396
LBN Legal business name King, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Feb 21st, 2018 - about 6 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 1417049396 NPPES
Minnesota Other PREFERRED ONE 963001035165
Minnesota MEDICAID 369232900 963001035165
Minnesota Other MEDICA 963001035165
Minnesota Other SELECT CARE 963001035165
Minnesota Other 171840 963001035165
Minnesota Other BLUE CROSS 963001035165
Minnesota Other HEALTH PARTNERS 963001035165
Minnesota Other COMMERCIAL 963001035165

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