Phelan, Mark J
Phelan, Mark J is an sole proprietor health care provider with primary practice located at 2120 Antilley Rd , Abilene TX 79606-5211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Phelan, Mark J can be contacted via phone (325) 695-2020.Contact Information
Primary practice address
2120 Antilley Rd
Abilene TX 79606-5211
Phone: (325) 695-2020
Fax: (325) 695-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | F79809 | Michigan |
Profile Details
| NPI number | 1801882030 |
|---|---|
| LBN Legal business name | Phelan, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jan 27th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801882030 | NPPES |
| Texas | Other | 180019658 | RRMC |
| Texas | Other | 81W900 | RRMC |
| Texas | MEDICAID | 039788701 | RRMC |
| Texas | Other | 751531889 | RRMC |
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