Weight, Mark A
Weight, Mark A is an individual health care provider with primary practice located at 2355 Coronado St , Idaho Falls ID 83404-7407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Weight, Mark A can be contacted via phone (208) 523-0303.Contact Information
Primary practice address
2355 Coronado St
Idaho Falls ID 83404-7407
Phone: (208) 523-0303
Fax: (208) 523-9815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | M9283 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M9283 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M9283 | Idaho |
Profile Details
| NPI number | 1396827150 |
|---|---|
| LBN Legal business name | Weight, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jun 17th, 2019 - about 5 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 | 1396827150 | NPPES |
| Idaho | MEDICAID | 807238300 |
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