Myers, Mark A

Myers, Mark A is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic @ Main Street, Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Myers, Mark A can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic @ Main Street Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45804 Minnesota

Profile Details

NPI number 1497734495
LBN Legal business name Myers, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 9th, 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 1497734495 NPPES
Minnesota Other 097L1MY BCBS
Minnesota Other 41084933956001C202 BCBS
Minnesota Other HP37918 BCBS
Minnesota Other NA2951022862 BCBS
Minnesota Other 1602454 BCBS
Minnesota Other 171361 BCBS
Minnesota Other 2227442 BCBS
Minnesota MEDICAID 996422300 BCBS
Minnesota Other P00039431 BCBS
Minnesota MEDICAID 0568519 BCBS

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