Dugan, Mark Christopher
Dugan, Mark Christopher is an individual health care provider with primary practice located at 1800 W Charleston Blvd 4Th Floor - Pediatric Critical Care, Las Vegas NV 89102-2329. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Dugan, Mark Christopher can be contacted via phone (702) 383-2420.Contact Information
Primary practice address
1800 W Charleston Blvd 4Th Floor - Pediatric Critical Care
Las Vegas NV 89102-2329
Phone: (702) 383-2420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.097064 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 067558 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 15904 | Nevada |
Profile Details
| NPI number | 1578724555 |
|---|---|
| LBN Legal business name | Dugan, Mark Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2008 |
| Last updated | Jul 7th, 2015 - 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 | 1578724555 | NPPES |
| Ohio | MEDICAID | 0050325 |
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