Pilot, Mark Alan

Pilot, Mark Alan is an individual health care provider with primary practice located at 3300 Oakdale Ave N , Robbinsdale MN 55422-2926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is his primary health care specialty. Pilot, Mark Alan can be contacted via phone (763) 559-2171.

Contact Information

Primary practice address
3300 Oakdale Ave N Robbinsdale MN 55422-2926
Phone: (763) 559-2171
Fax: (763) 694-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42036 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 42036 Minnesota
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 42036 Minnesota

Profile Details

NPI number 1043212855
LBN Legal business name Pilot, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 3rd, 2009 - about 15 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 1043212855 NPPES
Minnesota MEDICAID 569499000

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