Van Etten, Mark Aeppli
Van Etten, Mark Aeppli is an individual health care provider with primary practice located at 707 Ash St , Spooner WI 54801-1234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Van Etten, Mark Aeppli can be contacted via phone (715) 635-2151.Contact Information
Primary practice address
707 Ash St
Spooner WI 54801-1234
Phone: (715) 635-2151
Fax: (715) 635-8768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 25178-020 | Wisconsin |
Profile Details
| NPI number | 1568480614 |
|---|---|
| LBN Legal business name | Van Etten, Mark Aeppli |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 9th, 2011 - about 14 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 | 1568480614 | NPPES |
| Wisconsin | MEDICAID | 30518900 |
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