Plant, Mark A
Plant, Mark A is an sole proprietor health care provider with primary practice located at 2064 Washington St N , Twin Falls ID 83301-3071. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Plant, Mark A can be contacted via phone (208) 734-1097.Contact Information
Primary practice address
2064 Washington St N
Twin Falls ID 83301-3071
Phone: (208) 734-1097
Fax: (208) 735-5160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D-3129-OS | Idaho |
Profile Details
| NPI number | 1972519551 |
|---|---|
| LBN Legal business name | Plant, Mark A |
| Credentials | DDS, PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Nov 1st, 2022 - about 2 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 | 1972519551 | NPPES |
| Idaho | Other | 534917 | UNITED CONCORDIA |
| Idaho | Other | 6D626 | UNITED CONCORDIA |
| Idaho | Other | 6M048 | UNITED CONCORDIA |
| Idaho | Other | BLUE SHIELD | UNITED CONCORDIA |
| Idaho | MEDICAID | 002577900 | UNITED CONCORDIA |
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