Richards, Mark

Richards, Mark is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Richards, Mark can be contacted via phone (205) 625-4000.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814-6051
Phone: (205) 625-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2001013144 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35092278 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301090962 Michigan
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35092778 Ohio
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X M-16034 Idaho

Profile Details

NPI number 1568487726
LBN Legal business name Richards, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 10th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568487726 NPPES
Ohio MEDICAID 2944970
Ohio Other P00751126

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