Contreras, Mario Rolando
Contreras, Mario Rolando is an individual health care provider with primary practice located at 2400 South St , Lafayette IN 47904-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Contreras, Mario Rolando can be contacted via phone (765) 448-4319.Contact Information
Primary practice address
2400 South St
Lafayette IN 47904-3027
Phone: (765) 448-4319
Fax: (765) 448-2921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01036557A | Indiana |
Profile Details
| NPI number | 1841297801 |
|---|---|
| LBN Legal business name | Contreras, Mario Rolando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jul 16th, 2007 - about 19 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 | 1841297801 | NPPES |
| Indiana | Other | 000000082509 | ANTHEM |
| Indiana | Other | CB5232 | ANTHEM |
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