Rumancik, Mark

Rumancik, Mark is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Entrance 11, Suite 330, Fort Wayne IN 46845-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rumancik, Mark can be contacted via phone (260) 494-3484.

Contact Information

Primary practice address
11104 Parkview Circle Dr Entrance 11, Suite 330 Fort Wayne IN 46845-1730
Phone: (260) 494-3484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01041312A Indiana

Profile Details

NPI number 1467454470
LBN Legal business name Rumancik, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 12th, 2020 - about 5 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 1467454470 NPPES
Ohio MEDICAID 0929151
Ohio MEDICAID 100360480
Ohio Other 000000095601
Ohio Other 100082060

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