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
Phone: (616) 252-7159
Fax: (616) 252-6990
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972555308 | NPPES |
| Illinois | MEDICAID | 036076940 |
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