Traill, Mark

Traill, Mark is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Traill, Mark can be contacted via phone (616) 252-7159.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519
Fax: (616) 252-6990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036076940 Illinois

Profile Details

NPI number 1972555308
LBN Legal business name Traill, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 2nd, 2019 - 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 1972555308 NPPES
Illinois MEDICAID 036076940

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