Mulder, Mark
Mulder, Mark is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mulder, Mark can be contacted via phone (702) 653-2105.Contact Information
Primary practice address
4700 Las Vegas Blvd N
Nellis Afb NV 89191-6600
Phone: (702) 653-2105
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 79940 | Georgia |
Profile Details
NPI number | 1538457452 |
---|---|
LBN Legal business name | Mulder, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2011 |
Last updated | Sep 21st, 2022 - about 3 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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