Altenau, Mark Michael
Altenau, Mark Michael is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite B434, Dallas TX 75230-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Altenau, Mark Michael can be contacted via phone (972) 566-7888.Contact Information
Primary practice address
7777 Forest Ln Suite B434
Dallas TX 75230-2505
Phone: (972) 566-7888
Fax: (972) 566-7833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D9931 | Texas |
Profile Details
| NPI number | 1710963368 |
|---|---|
| LBN Legal business name | Altenau, Mark Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1710963368 | NPPES |
| Texas | MEDICAID | 089665601 |
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