Carlisle, Mark

Carlisle, Mark is an individual health care provider with primary practice located at 3000 Colby St Suite 205, Berkeley CA 94705-2083. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carlisle, Mark can be contacted via phone (510) 666-0854.

Contact Information

Primary practice address
3000 Colby St Suite 205 Berkeley CA 94705-2083
Phone: (510) 666-0854
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A91492 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A91492 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A91492 California

Profile Details

NPI number 1831313378
LBN Legal business name Carlisle, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Oct 7th, 2014 - about 12 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 1831313378 NPPES
California MEDICAID 1831313378

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