Jonker, Mark A.

Jonker, Mark A. is an individual health care provider with primary practice located at 2305 Genoa Business Park Dr Ste 120 , Brighton MI 48114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jonker, Mark A. can be contacted via phone (810) 494-6881.

Contact Information

Primary practice address
2305 Genoa Business Park Dr Ste 120 Brighton MI 48114
Phone: (810) 494-6881
Fax: (810) 494-6882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 258991 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301108483 Michigan

Profile Details

NPI number 1780620039
LBN Legal business name Jonker, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 6th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780620039 NPPES
Massachusetts MEDICAID 110099977A

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