Markham, Fred S.

Markham, Fred S. is an sole proprietor health care provider with primary practice located at 804 Ainsworth Dr # 104, Prescott AZ 86301-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Markham, Fred S. can be contacted via phone (928) 778-1736.

Contact Information

Primary practice address
804 Ainsworth Dr # 104 Prescott AZ 86301-1624
Fax: (928) 717-0786
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15168 Arizona

Profile Details

NPI number 1679538995
LBN Legal business name Markham, Fred S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Feb 16th, 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 1679538995 NPPES
Arizona MEDICAID 242694

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