Kontos, Mark A

Kontos, Mark A is an individual health care provider with primary practice located at 16010 E Indiana Ave , Spokane Valley WA 99216-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kontos, Mark A can be contacted via phone (509) 928-8040.

Contact Information

Primary practice address
16010 E Indiana Ave Spokane Valley WA 99216-1813
Phone: (509) 928-8040
Fax: (509) 928-0784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30698 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-6605 Idaho

Profile Details

NPI number 1114938990
LBN Legal business name Kontos, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 15th, 2021 - about 5 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 1114938990 NPPES
Idaho Other 180025917 RAILROAD MEDICARE
Idaho MEDICAID 003277200 RAILROAD MEDICARE
Idaho Other 0041398 RAILROAD MEDICARE
Idaho MEDICAID 1081835 RAILROAD MEDICARE
Idaho Other 180015252 RAILROAD MEDICARE
Idaho MEDICAID P3503708 RAILROAD MEDICARE

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