Austin, Mark C
Austin, Mark C is an individual health care provider with primary practice located at 1301 E Northland Ave Ste A, Appleton WI 54911-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Austin, Mark C can be contacted via phone (920) 734-8714.Contact Information
Primary practice address
1301 E Northland Ave Ste A
Appleton WI 54911-8426
Phone: (920) 734-8714
Fax: (920) 734-8785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33602 | Wisconsin |
Profile Details
| NPI number | 1487697959 |
|---|---|
| LBN Legal business name | Austin, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 2nd, 2009 - 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 | 1487697959 | NPPES |
| Wisconsin | MEDICAID | 32890500 | |
| Wisconsin | Other | 180030240 |
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