Mogensen, Mark

Mogensen, Mark is an individual health care provider with primary practice located at 1160 3Rd St , Lake View IA 51450-7474. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mogensen, Mark can be contacted via phone (712) 657-8555.

Contact Information

Primary practice address
1160 3Rd St Lake View IA 51450-7474
Phone: (712) 657-8555
Fax: (712) 657-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001660 Iowa

Profile Details

NPI number 1881679900
LBN Legal business name Mogensen, Mark
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Sep 3rd, 2010 - about 14 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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