Valentine, Mark Conrad
Valentine, Mark Conrad is an sole proprietor health care provider with primary practice located at 3327 Colby Ave , Everett WA 98201-6403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Valentine, Mark Conrad can be contacted via phone (425) 258-6767.Contact Information
Primary practice address
3327 Colby Ave
Everett WA 98201-6403
Phone: (425) 258-6767
Fax: (425) 259-6260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00017167 | Washington |
Profile Details
| NPI number | 1043294473 |
|---|---|
| LBN Legal business name | Valentine, Mark Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Nov 2nd, 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 | 1043294473 | NPPES |
| Washington | MEDICAID | 1489608 |
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