Shanfeld, Mark A

Shanfeld, Mark A is an individual health care provider with primary practice located at 1611 Anne St Nw , Bemidji MN 56601-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shanfeld, Mark A can be contacted via phone (218) 333-2020.

Contact Information

Primary practice address
1611 Anne St Nw Bemidji MN 56601-5114
Phone: (218) 333-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36199 Minnesota

Profile Details

NPI number 1710024435
LBN Legal business name Shanfeld, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Nov 21st, 2011 - about 15 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 1710024435 NPPES
Other 0829867 MEDICA
Other 28645 MEDICA
Other HP57665 MEDICA
MEDICAID 693363700 MEDICA
Other 1011211 MEDICA

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