Markham, Fred S.
Markham, Fred S. is an sole proprietor health care provider with primary practice located at 804 Ainsworth Dr # 104, Prescott AZ 86301-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Markham, Fred S. can be contacted via phone (928) 778-1736.Contact Information
Primary practice address
804 Ainsworth Dr # 104
Prescott AZ 86301-1624
Phone: (928) 778-1736
Fax: (928) 717-0786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15168 | Arizona |
Profile Details
| NPI number | 1679538995 |
|---|---|
| LBN Legal business name | Markham, Fred S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Feb 16th, 2016 - about 10 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 | 1679538995 | NPPES |
| Arizona | MEDICAID | 242694 |
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