Winter, Mark L.
Winter, Mark L. is an sole proprietor health care provider with primary practice located at 4432 S Loop 289 , Lubbock TX 79414-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Winter, Mark L. can be contacted via phone (806) 793-0845.Contact Information
Primary practice address
4432 S Loop 289
Lubbock TX 79414-5005
Phone: (806) 793-0845
Fax: (806) 799-3987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | E9027 | Texas |
Profile Details
| NPI number | 1740283571 |
|---|---|
| LBN Legal business name | Winter, Mark L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740283571 | NPPES |
| Texas | Other | 4547130 | AETNA INSURANCE |
| Texas | Other | 127130100 | AETNA INSURANCE |
| Texas | Other | 00PC04 | AETNA INSURANCE |
| Texas | MEDICAID | 120346502 | AETNA INSURANCE |
| Texas | Other | 040009551 | AETNA INSURANCE |
| Texas | Other | 120346502 | AETNA INSURANCE |
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