Versland, Mark R
Versland, Mark R is an individual health care provider with primary practice located at 1 Liberty Square Floor 2 Connecticut Gi, Pc, New Britain CT 06051-2637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Versland, Mark R can be contacted via phone (860) 229-9688.Contact Information
Primary practice address
1 Liberty Square Floor 2 Connecticut Gi, Pc
New Britain CT 06051-2637
Phone: (860) 229-9688
Fax: (860) 229-5498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 028335 | Connecticut |
Profile Details
| NPI number | 1639164775 |
|---|---|
| LBN Legal business name | Versland, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 24th, 2014 - about 10 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 | 1639164775 | NPPES |
| Connecticut | Other | 0925918002 | CIGNA |
| Connecticut | Other | 744458 | CIGNA |
| Connecticut | Other | 0076300 | CIGNA |
| Connecticut | MEDICAID | 001283358 | CIGNA |
| Connecticut | Other | HAS486 | CIGNA |
| Connecticut | Other | 010028335CT01 | CIGNA |
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