Mark, Julie P.

Mark, Julie P. is an individual health care provider with primary practice located at 1627 E Bristol St , Elkhart IN 46514-3817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mark, Julie P. can be contacted via phone (574) 262-0313.

Contact Information

Primary practice address
1627 E Bristol St Elkhart IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01036572A Indiana

Profile Details

NPI number 1851781934
LBN Legal business name Mark, Julie P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2015
Last updated Mar 18th, 2016 - about 9 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 1851781934 NPPES
Indiana Other 000000924711 BCBS BMG PEDIATRICS
Indiana MEDICAID 100130050 BCBS BMG PEDIATRICS

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