Southard, Mark
Southard, Mark is an individual health care provider with primary practice located at 900 W Clairmont Ave , Eau Claire WI 54701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Southard, Mark can be contacted via phone (715) 839-4151.Contact Information
Primary practice address
900 W Clairmont Ave
Eau Claire WI 54701
Phone: (715) 839-4151
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 45008 | Wisconsin |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 45008 | Wisconsin |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 45008 | Wisconsin |
Profile Details
NPI number | 1003868811 |
---|---|
LBN Legal business name | Southard, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Jan 5th, 2022 - about 2 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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