Lavin, Mark
Lavin, Mark is an individual health care provider with primary practice located at 19609 E 9Th St S , Independence MO 64056-3088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lavin, Mark can be contacted via phone (816) 796-1412.Contact Information
Primary practice address
19609 E 9Th St S
Independence MO 64056-3088
Phone: (816) 796-1412
Fax: (816) 796-3398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R3P61 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-18135 | Kansas |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | R3P61 | Missouri |
Profile Details
| NPI number | 1821065160 |
|---|---|
| LBN Legal business name | Lavin, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821065160 | NPPES |
| Kansas | Other | P00152929 | RR MEDICARE |
| Kansas | Other | P00152876 | RR MEDICARE |
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