Trask, David Mark
Trask, David Mark is an sole proprietor health care provider with primary practice located at 492 Murphy Rd , Medford OR 97504-8144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Trask, David Mark can be contacted via phone (541) 772-0557.Contact Information
Primary practice address
492 Murphy Rd
Medford OR 97504-8144
Phone: (541) 772-0557
Fax: (541) 772-1513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14062 | Oregon |
Profile Details
| NPI number | 1174592349 |
|---|---|
| LBN Legal business name | Trask, David Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 29th, 2007 - about 18 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 | 1174592349 | NPPES |
| Oregon | MEDICAID | 026575 |
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