Garrison, Mark S
Garrison, Mark S is an individual health care provider with primary practice located at 1025 Village Ln , Chico CA 95926-2812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Garrison, Mark S can be contacted via phone (530) 566-0132.Contact Information
Primary practice address
1025 Village Ln
Chico CA 95926-2812
Phone: (530) 566-0132
Fax: (530) 566-1682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20A9268 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A9268 | California |
Profile Details
| NPI number | 1801881503 |
|---|---|
| LBN Legal business name | Garrison, Mark S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 12th, 2010 - about 15 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 | 1801881503 | NPPES |
| Other | 160035735 | RAILROAD MEDICARE | |
| Other | 20A9268 | RAILROAD MEDICARE | |
| MEDICAID | 00AX92680 | RAILROAD MEDICARE |
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