Marks, Ian W

Marks, Ian W is an individual health care provider with primary practice located at 544 N Glendale Ave , Glendale CA 91206-3311. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Marks, Ian W can be contacted via phone (818) 241-4331.

Contact Information

Primary practice address
544 N Glendale Ave Glendale CA 91206-3311
Phone: (818) 241-4331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001200 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA51543 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110001200 Virginia

Profile Details

NPI number 1760506869
LBN Legal business name Marks, Ian W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 22nd, 2014 - about 11 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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