Odden, Mark G

Odden, Mark G is an sole proprietor health care provider with primary practice located at 17893 224Th St , Manchester IA 52057-8629. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Odden, Mark G can be contacted via phone (563) 927-6183.

Contact Information

Primary practice address
17893 224Th St Manchester IA 52057-8629
Phone: (563) 927-6183
Fax: (563) 927-6183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D-074818 Iowa

Profile Details

NPI number 1528022993
LBN Legal business name Odden, Mark G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Nov 3rd, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528022993 NPPES
Iowa Other 26702 RMC BC/BS IOWA
Iowa Other 43951 RMC BC/BS IOWA
Iowa MEDICAID 6274647 RMC BC/BS IOWA
Iowa MEDICAID 1274647 RMC BC/BS IOWA
Iowa MEDICAID 327467 RMC BC/BS IOWA
Iowa MEDICAID 4274647 RMC BC/BS IOWA
Iowa Other 47146 RMC BC/BS IOWA
Iowa Other 35258 RMC BC/BS IOWA

Popular Providers