Thomas, Mark B
Thomas, Mark B is an individual health care provider with primary practice located at 500 E Whiteaker Ave , Cottage Grove OR 97424-1648. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Thomas, Mark B can be contacted via phone (541) 942-5024.Contact Information
Primary practice address
500 E Whiteaker Ave
Cottage Grove OR 97424-1648
Phone: (541) 942-5024
Fax: (541) 942-0598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 271279 | Oregon |
Profile Details
| NPI number | 1043362601 |
|---|---|
| LBN Legal business name | Thomas, Mark B |
| Credentials | D.C., D.A.B.C.I. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043362601 | NPPES |
| Oregon | Other | 067246002 | BLUE CROSS |
| Oregon | Other | 067246000 | BLUE CROSS |
| Oregon | MEDICAID | 231779 | BLUE CROSS |
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