Vera, Mark J

Vera, Mark J is an sole proprietor health care provider with primary practice located at 3520 E Shields Ave Suite 102, Fresno CA 93726-6923. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Vera, Mark J can be contacted via phone (559) 221-1933.

Contact Information

Primary practice address
3520 E Shields Ave Suite 102 Fresno CA 93726-6923
Phone: (559) 221-1933
Fax: (559) 221-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1215046024
LBN Legal business name Vera, Mark J
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215046024 NPPES
California MEDICAID XA0040340

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