Pearson, Mark Edward

Pearson, Mark Edward is an individual health care provider with primary practice located at 601 N Barker Rd 110, Brookfield WI 53045-5929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Pearson, Mark Edward can be contacted via phone (262) 785-0777.

Contact Information

Primary practice address
601 N Barker Rd 110 Brookfield WI 53045-5929
Phone: (262) 785-0777
Fax: (262) 785-0610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 28413 Wisconsin

Profile Details

NPI number 1407857048
LBN Legal business name Pearson, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Sep 9th, 2019 - about 6 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 1407857048 NPPES
Wisconsin MEDICAID 30809700
Wisconsin Other 110036756

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