Mark, Michelle Elaine
Mark, Michelle Elaine is an sole proprietor health care provider with primary practice located at 752 N High Point Rd , Madison WI 53717-2236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Mark, Michelle Elaine can be contacted via phone (608) 824-4000.Contact Information
Primary practice address
752 N High Point Rd
Madison WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 824-4956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 83220-20 | Wisconsin |
Profile Details
| NPI number | 1457912123 |
|---|---|
| LBN Legal business name | Mark, Michelle Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457912123 | NPPES |
| Wisconsin | MEDICAID | 1457912123 |
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