Oppenheimer, Mark J

Oppenheimer, Mark J is an individual health care provider with primary practice located at 3926 S Western Ave , Sioux Falls SD 57105-6513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Oppenheimer, Mark J can be contacted via phone (605) 275-6525.

Contact Information

Primary practice address
3926 S Western Ave Sioux Falls SD 57105-6513
Phone: (605) 275-6525
Fax: (605) 275-6970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2757 South Dakota

Profile Details

NPI number 1689640187
LBN Legal business name Oppenheimer, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 21st, 2013 - about 12 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 1689640187 NPPES
Minnesota Other 495R1OP BCBS
Minnesota MEDICAID 052785800 BCBS
Minnesota Other 4994889 BCBS
Minnesota Other P00194713 BCBS
Minnesota MEDICAID 10025206600 BCBS
Minnesota MEDICAID 2943845 BCBS
Minnesota MEDICAID 6002053 BCBS

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