Sherman, Mark D

Sherman, Mark D is an individual health care provider with primary practice located at 628 California Blvd Ste D, San Luis Obispo CA 93401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sherman, Mark D can be contacted via phone (805) 545-7881.

Contact Information

Primary practice address
628 California Blvd Ste D San Luis Obispo CA 93401
Phone: (805) 545-7881
Fax: (805) 548-8785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H69829 California

Profile Details

NPI number 1326056235
LBN Legal business name Sherman, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 18th, 2015 - about 9 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 1326056235 NPPES
California MEDICAID 00G698290

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