Lovaas, Mark
Lovaas, Mark is an individual health care provider with primary practice located at 800 E 28Th St Ste 401 , Minneapolis MN 55407-3723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Lovaas, Mark can be contacted via phone (612) 863-0200.Contact Information
Primary practice address
800 E 28Th St Ste 401
Minneapolis MN 55407-3723
Phone: (612) 863-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 28546 | Minnesota |
Profile Details
| NPI number | 1720062946 |
|---|---|
| LBN Legal business name | Lovaas, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Mar 22nd, 2023 - about 2 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 | 1720062946 | NPPES |
| Minnesota | MEDICAID | 948395100 |
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