Redor, Mark W
Redor, Mark W is an sole proprietor health care provider with primary practice located at 1006 Marshall Way , Placerville CA 95667-5706. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Redor, Mark W can be contacted via phone (530) 622-6430.Contact Information
Primary practice address
1006 Marshall Way
Placerville CA 95667-5706
Phone: (530) 622-6430
Fax: (530) 622-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G56411 | California |
Profile Details
| NPI number | 1013963594 |
|---|---|
| LBN Legal business name | Redor, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | May 27th, 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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