Michael, John Mark
Michael, John Mark is an sole proprietor health care provider with primary practice located at 242 Willowgate Ln , Indianapolis IN 46260-1431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Michael, John Mark can be contacted via phone (317) 848-1611.Contact Information
Primary practice address
242 Willowgate Ln
Indianapolis IN 46260-1431
Phone: (317) 848-1611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01033505 | Indiana |
Profile Details
| NPI number | 1578567426 |
|---|---|
| LBN Legal business name | Michael, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578567426 | NPPES |
| Indiana | Other | 180007434 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100317670 | RAILROAD MEDICARE |
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