Jessen, Mark D.
Jessen, Mark D. is an individual health care provider with primary practice located at 1326 Andrea St , Bowling Green KY 42104-3334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jessen, Mark D. can be contacted via phone (270) 781-1588.Contact Information
Primary practice address
1326 Andrea St
Bowling Green KY 42104-3334
Phone: (270) 781-1588
Fax: (270) 781-1598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29379 | Kentucky |
Profile Details
| NPI number | 1033174982 |
|---|---|
| LBN Legal business name | Jessen, Mark D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 18th, 2014 - about 12 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 | 1033174982 | NPPES |
| Kentucky | MEDICAID | 64293798 |
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