House, John Mark
House, John Mark is an sole proprietor health care provider with primary practice located at 105 Passion Play Rd Ste C , Eureka Springs AR 72632-9342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. House, John Mark can be contacted via phone (479) 927-1100.Contact Information
Primary practice address
105 Passion Play Rd Ste C
Eureka Springs AR 72632-9342
Phone: (479) 927-1100
Fax: (833) 984-3479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-5931 | Arkansas |
Profile Details
| NPI number | 1417155078 |
|---|---|
| LBN Legal business name | House, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jun 17th, 2022 - about 3 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 | 1417155078 | NPPES |
| Arkansas | MEDICAID | 184782001 | |
| Arkansas | Other | 771115402 |
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