Mroczko, Mark
Mroczko, Mark is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mroczko, Mark can be contacted via phone (208) 625-6900.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-6900
Fax: (208) 625-3910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M12779 | Idaho |
Profile Details
| NPI number | 1528089885 |
|---|---|
| LBN Legal business name | Mroczko, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1528089885 | NPPES |
| Illinois | Other | 712180 | MEDICARE GROUP |
| Illinois | Other | 10215111 | MEDICARE GROUP |
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