Marks, Craig T

Marks, Craig T is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 305 , Fort Wayne IN 46845-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Marks, Craig T can be contacted via phone (260) 484-9611.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 305 Fort Wayne IN 46845-1715
Phone: (260) 484-9611
Fax: (260) 484-1004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01040928A Indiana

Profile Details

NPI number 1689675282
LBN Legal business name Marks, Craig T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Oct 3rd, 2022 - about 3 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 1689675282 NPPES
Michigan MEDICAID 103421786
Michigan MEDICAID 0116627
Michigan MEDICAID 100337150
Michigan Other 020026958

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