Mark, Nancy Harriet

Mark, Nancy Harriet is an individual health care provider with primary practice located at 751 S Bascom Ave Anesthesiology Department, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mark, Nancy Harriet can be contacted via phone (408) 885-5745.

Contact Information

Primary practice address
751 S Bascom Ave Anesthesiology Department San Jose CA 95128-2604
Phone: (408) 885-5745
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G59260 California

Profile Details

NPI number 1942266614
LBN Legal business name Mark, Nancy Harriet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 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 1942266614 NPPES
California MEDICAID 00G592600

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