Runkle, Mark H

Runkle, Mark H is an individual health care provider with primary practice located at 1250 E County Line Rd Ste 6, Indianapolis IN 46227-0989. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Runkle, Mark H can be contacted via phone (317) 859-2905.

Contact Information

Primary practice address
1250 E County Line Rd Ste 6 Indianapolis IN 46227-0989
Phone: (317) 859-2905
Fax: (317) 859-2909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000797 Indiana

Profile Details

NPI number 1144246687
LBN Legal business name Runkle, Mark H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated May 4th, 2011 - about 13 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 1144246687 NPPES
Indiana Other 4743630001 DMERC
Indiana Other DN3463 DMERC
Indiana MEDICAID 200035220 DMERC

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