Gettleman, Mark

Gettleman, Mark is an individual health care provider with primary practice located at 1790 E Boston St , Gilbert AZ 85295-6247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gettleman, Mark can be contacted via phone (602) 933-3549.

Contact Information

Primary practice address
1790 E Boston St Gilbert AZ 85295-6247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60622294 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23947 Arizona

Profile Details

NPI number 1801989611
LBN Legal business name Gettleman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 8th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801989611 NPPES
Washington MEDICAID 2055783

Popular Providers