Zachary, Mark
Zachary, Mark is an individual health care provider with primary practice located at 18275 N 59Th Ave Bldg M #176, Glendale AZ 85308-1260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Zachary, Mark can be contacted via phone (602) 843-2866.Contact Information
Primary practice address
18275 N 59Th Ave Bldg M #176
Glendale AZ 85308-1260
Phone: (602) 843-2866
Fax: (602) 938-1491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 12879 | Arizona |
Profile Details
| NPI number | 1942482575 |
|---|---|
| LBN Legal business name | Zachary, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Apr 1st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942482575 | NPPES |
| Arkansas | Other | 1Z3860 | HEALTHNET |
| Arkansas | Other | 0467420 | HEALTHNET |
| Arkansas | MEDICAID | 224204 | HEALTHNET |
| Arkansas | Other | 34326 | HEALTHNET |
| Arkansas | Other | AZ0004670 | HEALTHNET |
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