Mayhle, Mark Donald

Mayhle, Mark Donald is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mayhle, Mark Donald can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-12309 Idaho
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00029725 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00029725 Washington

Profile Details

NPI number 1245218171
LBN Legal business name Mayhle, Mark Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 17th, 2019 - about 5 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 1245218171 NPPES
Washington MEDICAID 8254898
Washington MEDICAID 1245218171
Washington Other 201567
Washington Other 139238
Washington Other 0377942
Washington Other 139237

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