Lipetz, Mark David

Lipetz, Mark David is an individual health care provider with primary practice located at 41 E Lipoa Street Suite 22, Kihei HI 96753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lipetz, Mark David can be contacted via phone (808) 891-1177.

Contact Information

Primary practice address
41 E Lipoa Street Suite 22 Kihei HI 96753
Phone: (808) 891-1177
Fax: (808) 891-2255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10263 Hawaii

Profile Details

NPI number 1306919956
LBN Legal business name Lipetz, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306919956 NPPES
Hawaii Other B0222659 HMSA
Hawaii MEDICAID 08885703 HMSA

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