Mark, David G

Mark, David G is an individual health care provider with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mark, David G can be contacted via phone (574) 000-0000.

Contact Information

Primary practice address

17501 Generations Dr South Bend IN 46635-1589

Phone: (574) 000-0000

Fax: (574) 000-0000

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Gastroenterology	207RG0100X	01037623A	Indiana

Profile Details

NPI number	1770587339
LBN Legal business name	Mark, David G
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 10th, 2005
Last updated	May 19th, 2016 - about 8 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

State	Type	Number	Issuer
All States	NPI	1770587339	NPPES
Indiana	Other	2004184004	CIGNA
Indiana	Other	000000084424	CIGNA
Indiana	Other	4229217	CIGNA
Indiana	MEDICAID	100323890A	CIGNA
Indiana	Other	110082367	CIGNA

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