Pendleton, Mark Alan

Pendleton, Mark Alan is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. 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. Pendleton, Mark Alan can be contacted via phone (082) 391-0562.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (082) 391-0562
Fax: (208) 239-3626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 130808 Idaho

Profile Details

NPI number 1316570757
LBN Legal business name Pendleton, Mark Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2020
Last updated May 19th, 2020 - about 5 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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