Wendel, Mark

Wendel, Mark is an individual health care provider with primary practice located at 3800 E Johnson Ave Ste E, Jonesboro AR 72401-1931. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wendel, Mark can be contacted via phone (870) 932-0399.

Contact Information

Primary practice address
3800 E Johnson Ave Ste E Jonesboro AR 72401-1931
Phone: (870) 932-0399
Fax: (870) 932-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X E-5359 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-5359 Arkansas

Profile Details

NPI number 1659494334
LBN Legal business name Wendel, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Oct 20th, 2016 - about 8 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 1659494334 NPPES
Arkansas MEDICAID 176716001

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