Shachner, Mark
Shachner, Mark is an individual health care provider with primary practice located at 3001 Coral Hills Dr Suite 320, Coral Springs FL 33065-4172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shachner, Mark can be contacted via phone (954) 755-0111.Contact Information
Primary practice address
3001 Coral Hills Dr Suite 320
Coral Springs FL 33065-4172
Phone: (954) 755-0111
Fax: (954) 755-2209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0062046 | Florida |
Profile Details
| NPI number | 1568464410 |
|---|---|
| LBN Legal business name | Shachner, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 10th, 2010 - about 14 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 | 1568464410 | NPPES |
| Florida | MEDICAID | 370302900 | |
| Florida | Other | P00811387 | |
| Florida | Other | 204679 | |
| Florida | Other | 0163178 | |
| Florida | Other | 14969 | |
| Florida | Other | 002683 | |
| Florida | Other | 0100553 |
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