Cunningham, Mark Alan
Cunningham, Mark Alan is an sole proprietor health care provider with primary practice located at 4215 Lynn Dr , El Dorado AR 71730-8670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cunningham, Mark Alan can be contacted via phone (870) 862-2442.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D9980 | Texas |
Profile Details
| NPI number | 1588641930 |
|---|---|
| LBN Legal business name | Cunningham, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Feb 2nd, 2010 - about 16 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 | 1588641930 | NPPES |
| Texas | MEDICAID | 150366601 | |
| Texas | MEDICAID | 150366605 |
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