Kortbaoui, Mark
Kortbaoui, Mark is an sole proprietor health care provider with primary practice located at 320 W 10Th Ave Ste 202 , Kennewick WA 99336-6302. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kortbaoui, Mark can be contacted via phone (509) 221-5520.Contact Information
Primary practice address
320 W 10Th Ave Ste 202
Kennewick WA 99336-6302
Phone: (509) 221-5520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP61564493 | Washington |
Profile Details
| NPI number | 1942762851 |
|---|---|
| LBN Legal business name | Kortbaoui, Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2019 |
| Last updated | Oct 9th, 2024 - about 2 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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