Proffer, Mark Alan

Proffer, Mark Alan is an individual health care provider with primary practice located at 24 S Mount Auburn Rd , Cape Girardeau MO 63703-4914. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Proffer, Mark Alan can be contacted via phone (573) 331-5544.

Contact Information

Primary practice address
24 S Mount Auburn Rd Cape Girardeau MO 63703-4914
Phone: (573) 331-5544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2023041355 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2023041355 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2023041355 Missouri

Profile Details

NPI number 1063259646
LBN Legal business name Proffer, Mark Alan
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2024
Last updated Jul 11th, 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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