Rasak, Mark A
Rasak, Mark A is an individual health care provider with primary practice located at 17880 Farmington Rd , Livonia MI 48152-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rasak, Mark A can be contacted via phone (248) 615-7300.Contact Information
Primary practice address
17880 Farmington Rd
Livonia MI 48152-3104
Phone: (248) 615-7300
Fax: (248) 615-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5101010225 | Michigan |
Profile Details
| NPI number | 1053391920 |
|---|---|
| LBN Legal business name | Rasak, Mark A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 17th, 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 | 1053391920 | NPPES |
| Michigan | MEDICAID | 3119718-11 |
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