Feldman, Mark R

Feldman, Mark R is an individual health care provider with primary practice located at 2551 S Smith Rd , Bloomington IN 47401-8943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Feldman, Mark R can be contacted via phone (812) 277-5311.

Contact Information

Primary practice address
2551 S Smith Rd Bloomington IN 47401-8943
Phone: (812) 277-5311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37989 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01050576A Indiana

Profile Details

NPI number 1255325718
LBN Legal business name Feldman, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 26th, 2015 - about 11 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 1255325718 NPPES
Indiana MEDICAID 200228890A

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