Priebe, Mark Paul
Priebe, Mark Paul is an individual health care provider with primary practice located at 422 W Mckinley Ave Ste B , Mishawaka IN 46545-5522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Priebe, Mark Paul can be contacted via phone (574) 666-2573.Contact Information
Primary practice address
422 W Mckinley Ave Ste B
Mishawaka IN 46545-5522
Phone: (574) 666-2573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01041639 | Indiana |
Profile Details
| NPI number | 1831138684 |
|---|---|
| LBN Legal business name | Priebe, Mark Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Aug 8th, 2023 - 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 | 1831138684 | NPPES |
| Indiana | MEDICAID | 200045400A |
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