Mara, Michael L
Mara, Michael L is an individual health care provider with primary practice located at 1303 Ne Cushing Dr Ste 100, Bend OR 97701-3730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Mara, Michael L can be contacted via phone (541) 330-8226.Contact Information
Primary practice address
1303 Ne Cushing Dr Ste 100
Bend OR 97701-3730
Phone: (541) 330-8226
Fax: (541) 318-0373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | MD19422 | Oregon |
Profile Details
| NPI number | 1366428237 |
|---|---|
| LBN Legal business name | Mara, Michael L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366428237 | NPPES |
| Oregon | MEDICAID | 074435 | |
| Oregon | Other | 200026307 |
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