Mark, Richard

Mark, Richard is an individual health care provider with primary practice located at 9398 N Lilley Rd , Plymouth MI 48170-4610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mark, Richard can be contacted via phone (734) 254-0453.

Contact Information

Primary practice address
9398 N Lilley Rd Plymouth MI 48170-4610
Phone: (734) 254-0453
Fax: (734) 459-1855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009615 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101009615 Michigan

Profile Details

NPI number 1649244286
LBN Legal business name Mark, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 18th, 2009 - about 17 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 1649244286 NPPES
Michigan MEDICAID 1649244286

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