Shebuski, Mark Richard

Shebuski, Mark Richard is an individual health care provider with primary practice located at 301 W Lakeshore Dr , Houghton MI 49931-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shebuski, Mark Richard can be contacted via phone (906) 487-1710.

Contact Information

Primary practice address
301 W Lakeshore Dr Houghton MI 49931-2200
Phone: (906) 487-1710
Fax: (906) 487-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301038377 Michigan

Profile Details

NPI number 1548262736
LBN Legal business name Shebuski, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 7th, 2023 - about last year

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 1548262736 NPPES
Michigan Other 4301038377 MI LICENSE NUMBER
Michigan MEDICAID 1442446 MI LICENSE NUMBER
Michigan Other 233857 MI LICENSE NUMBER

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