Monroe, Mark Nelson

Monroe, Mark Nelson is an sole proprietor health care provider with primary practice located at 2414 S Fairview St #112, Santa Ana CA 92704-5318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Monroe, Mark Nelson can be contacted via phone (714) 641-0121.

Contact Information

Primary practice address
2414 S Fairview St #112 Santa Ana CA 92704-5318
Phone: (714) 641-0121
Fax: (714) 641-2054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A39997 California

Profile Details

NPI number 1740244532
LBN Legal business name Monroe, Mark Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Nov 3rd, 2011 - about 13 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 1740244532 NPPES
Other 1750410007 NPI

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