Korman, Mark Wray

Korman, Mark Wray is an individual health care provider with primary practice located at 107 H Street East , Poplar MT 59255-0067. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as his primary health care specialty. Korman, Mark Wray can be contacted via phone (406) 768-3491.

Contact Information

Primary practice address
107 H Street East Poplar MT 59255-0067
Phone: (406) 768-3491
Fax: (406) 768-5109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 958 West Virginia

Profile Details

NPI number 1588007959
LBN Legal business name Korman, Mark Wray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated Apr 17th, 2013 - about 11 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 1588007959 NPPES
Montana MEDICAID 9990118
Montana Other WV-958

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