Dwinell, Mark Edward

Dwinell, Mark Edward is an individual health care provider with primary practice located at 407 S Schwartz Ave Suite 201, Farmington NM 87401-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dwinell, Mark Edward can be contacted via phone (505) 609-6730.

Contact Information

Primary practice address
407 S Schwartz Ave Suite 201 Farmington NM 87401-5925
Phone: (505) 609-6730
Fax: (505) 609-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2013-0979 New Mexico

Profile Details

NPI number 1639106099
LBN Legal business name Dwinell, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639106099 NPPES
Texas MEDICAID 1049637-01
Texas MEDICAID 104963701

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