Shulman, Mark S
Shulman, Mark S is an sole proprietor health care provider with primary practice located at 1414 Manera Ventosa , San Clemente CA 92673-3663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shulman, Mark S can be contacted via phone (413) 813-9539.Contact Information
Primary practice address
1414 Manera Ventosa
San Clemente CA 92673-3663
Phone: (413) 813-9539
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G36884 | California |
Profile Details
| NPI number | 1275520371 |
|---|---|
| LBN Legal business name | Shulman, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275520371 | NPPES |
| Massachusetts | MEDICAID | 3043118 |
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