Rapaport, Mark
Rapaport, Mark is an individual health care provider with primary practice located at 501 S Chipeta Way Rm 1838 , Salt Lake City UT 84108-1222. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Rapaport, Mark can be contacted via phone (801) 587-8626.Contact Information
Primary practice address
501 S Chipeta Way Rm 1838
Salt Lake City UT 84108-1222
Phone: (801) 587-8626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G50476 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 066799 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12199014-1205 | Utah |
Profile Details
| NPI number | 1194709998 |
|---|---|
| LBN Legal business name | Rapaport, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Dec 1st, 2021 - about 3 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 | 1194709998 | NPPES |
| California | MEDICAID | 00G504760 |
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