Simonian, Mark Martin
Simonian, Mark Martin is an individual health care provider with primary practice located at 681 Medical Center Dr W 106, Clovis CA 93611-6803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Simonian, Mark Martin can be contacted via phone (559) 325-6850.Contact Information
Primary practice address
681 Medical Center Dr W 106
Clovis CA 93611-6803
Phone: (559) 325-6850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A32554 | California |
Profile Details
| NPI number | 1265476493 |
|---|---|
| LBN Legal business name | Simonian, Mark Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 16th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265476493 | NPPES |
| California | Other | 26-4031266 | IRS S-CORP |
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