Squire, Mark A.

Squire, Mark A. is an individual health care provider with primary practice located at Henry Ford Health System 29200 Schoolcraft, Livonia MI 48150. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Squire, Mark A. can be contacted via phone (734) 523-1050.

Contact Information

Primary practice address
Henry Ford Health System 29200 Schoolcraft Livonia MI 48150
Phone: (734) 523-1050
Fax: (734) 523-2464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000917 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000917 Michigan

Profile Details

NPI number 1477566172
LBN Legal business name Squire, Mark A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 8th, 2021 - about 3 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 1477566172 NPPES
Other 480H280180 BLUE CROSS-BLUE CROSS
Other MS000917 BLUE CROSS-BLUE CROSS
Other MS000917 BLUE CROSS-BLUE CROSS
MEDICAID 462104813 BLUE CROSS-BLUE CROSS

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