Kuriata, Mark A

Kuriata, Mark A is an sole proprietor health care provider with primary practice located at 300 E Maiden Ln , Saint Joseph MI 49085-8516. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Kuriata, Mark A can be contacted via phone (269) 429-7546.

Contact Information

Primary practice address
300 E Maiden Ln Saint Joseph MI 49085-8516
Phone: (269) 429-7546
Fax: (269) 429-0807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 5101012454 Michigan

Profile Details

NPI number 1033220637
LBN Legal business name Kuriata, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 3rd, 2012 - about 13 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 1033220637 NPPES
Michigan Other 0A10115 BCBSM GROUP
Michigan Other 0751100205 BCBSM GROUP
Michigan MEDICAID 350460011 BCBSM GROUP
Michigan Other CG9582 BCBSM GROUP
Michigan Other 1531892018 BCBSM GROUP

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