Kirkland, Mark Raymond
Kirkland, Mark Raymond is an sole proprietor health care provider with primary practice located at 6855 Southwestern Blvd , Lake View NY 14085-9642. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Kirkland, Mark Raymond can be contacted via phone (716) 627-5970.Contact Information
Primary practice address
6855 Southwestern Blvd
Lake View NY 14085-9642
Phone: (716) 627-5970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 272466-1 | New York |
Profile Details
| NPI number | 1013121185 |
|---|---|
| LBN Legal business name | Kirkland, Mark Raymond |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1013121185 | NPPES |
| New York | MEDICAID | 02832864 |
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