D'Agostino, Mark L
D'Agostino, Mark L is an individual health care provider with primary practice located at 7822 Davenport St , Omaha NE 68114-3629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. D'Agostino, Mark L can be contacted via phone (402) 391-4855.Contact Information
Primary practice address
7822 Davenport St
Omaha NE 68114-3629
Phone: (402) 391-4855
Fax: (402) 391-6818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17894 | Nebraska |
Profile Details
| NPI number | 1588756324 |
|---|---|
| LBN Legal business name | D'Agostino, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 28th, 2016 - about 10 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 | 1588756324 | NPPES |
| Other | 087916 | MEDICARE | |
| Other | 050024913 | MEDICARE |
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