Velarde, Mark J

Velarde, Mark J is an individual health care provider with primary practice located at 5300 Elliott Dr , Ypsilanti MI 48197-8632. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Velarde, Mark J can be contacted via phone (734) 434-6262.

Contact Information

Primary practice address
5300 Elliott Dr Ypsilanti MI 48197-8632
Fax: (734) 712-2820
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004901 Michigan

Profile Details

NPI number 1477659423
LBN Legal business name Velarde, Mark J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 11th, 2010 - about 15 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 1477659423 NPPES
Michigan Other 1058112690 BCBS INDIVIDUAL
Michigan Other 0H14989 BCBS INDIVIDUAL

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