Nootens, Mark Thomas

Nootens, Mark Thomas is an individual health care provider with primary practice located at 931 Fran Lin Pkwy , Munster IN 46321-3540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nootens, Mark Thomas can be contacted via phone (219) 513-0107.

Contact Information

Primary practice address
931 Fran Lin Pkwy Munster IN 46321-3540
Phone: (219) 513-0107
Fax: (219) 513-0108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01042703 Indiana

Profile Details

NPI number 1568491975
LBN Legal business name Nootens, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568491975 NPPES
Indiana Other 060070754 RR MEDICARE PROVIDER #
Indiana MEDICAID 303467487 RR MEDICARE PROVIDER #
Indiana Other 000000243924 RR MEDICARE PROVIDER #
Indiana MEDICAID 200043060B RR MEDICARE PROVIDER #

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