Wheeler, Mark A

Wheeler, Mark A is an individual health care provider with primary practice located at 110 Irving St Nw Room G-226, Washington DC 20010-3017. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Wheeler, Mark A can be contacted via phone (202) 877-7504.

Contact Information

Primary practice address
110 Irving St Nw Room G-226 Washington DC 20010-3017
Phone: (202) 877-7504
Fax: (202) 877-5075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1981 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA000026 District of Columbia

Profile Details

NPI number 1124001409
LBN Legal business name Wheeler, Mark A
Credentials PA-C, AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Sep 15th, 2010 - about 14 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 1124001409 NPPES
Arizona MEDICAID 374405
Arizona Other 970004191
Arizona Other 86080015085260A056

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