Josephs, Mark R
Josephs, Mark R is an sole proprietor health care provider with primary practice located at 16260 Airline Hwy Suite A, Prairieville LA 70769-4272. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Josephs, Mark R can be contacted via phone (225) 744-2660.Contact Information
Primary practice address
16260 Airline Hwy Suite A
Prairieville LA 70769-4272
Phone: (225) 744-2660
Fax: (225) 744-2666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901019754 | Michigan |
| Dental Providers / Dentist | 122300000X | 6296 | Louisiana |
Profile Details
| NPI number | 1235391103 |
|---|---|
| LBN Legal business name | Josephs, Mark R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jul 24th, 2014 - about 11 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 | 1235391103 | NPPES |
| Louisiana | Other | 1992051107 | GROUP NPI |
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