Schafer, Mark D
Schafer, Mark D is an individual health care provider with primary practice located at 2742 Dow Ave , Tustin CA 92780-7242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schafer, Mark D can be contacted via phone (714) 665-1661.Contact Information
Primary practice address
2742 Dow Ave
Tustin CA 92780-7242
Phone: (714) 665-1661
Fax: (714) 665-1669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G69584 | California |
Profile Details
| NPI number | 1417948894 |
|---|---|
| LBN Legal business name | Schafer, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 8th, 2018 - about 6 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 | 1417948894 | NPPES |
| California | MEDICAID | 00G695840 |
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