Suski, Mark D

Suski, Mark D is an individual health care provider with primary practice located at 2166 N Moorpark Road Suite 102, Thousand Oaks CA 91360-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Suski, Mark D can be contacted via phone (805) 494-3330.

Contact Information

Primary practice address
2166 N Moorpark Road Suite 102 Thousand Oaks CA 91360-5009
Phone: (805) 494-3330
Fax: (805) 494-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X G76464 California

Profile Details

NPI number 1093886731
LBN Legal business name Suski, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 18th, 2020 - about 5 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 1093886731 NPPES
California MEDICAID 00G764640
California Other 2086S0122X

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