Gonsky, Mark Edward
Gonsky, Mark Edward is an individual health care provider with primary practice located at 1345 Nw Wall St Suite 302, Bend OR 97703-1970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonsky, Mark Edward can be contacted via phone (541) 323-3960.Contact Information
Primary practice address
1345 Nw Wall St Suite 302
Bend OR 97703-1970
Phone: (541) 323-3960
Fax: (541) 323-3961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO155003 | Oregon |
Profile Details
| NPI number | 1841464203 |
|---|---|
| LBN Legal business name | Gonsky, Mark Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Jan 10th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841464203 | NPPES |
| Oregon | MEDICAID | 500641003 | |
| Oregon | Other | 12271587 |
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