Kukler, Mark B.
Kukler, Mark B. is an individual health care provider with primary practice located at 763 Old Norcross Rd , Lawrenceville GA 30046-4317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kukler, Mark B. can be contacted via phone (678) 985-2000.Contact Information
Primary practice address
763 Old Norcross Rd
Lawrenceville GA 30046-4317
Phone: (678) 985-2000
Fax: (678) 985-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036800 | Georgia |
Profile Details
| NPI number | 1093765265 |
|---|---|
| LBN Legal business name | Kukler, Mark B. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 29th, 2010 - about 15 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 | 1093765265 | NPPES |
| Georgia | MEDICAID | 00540185B | |
| Georgia | Other | 309492 |
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