Purnell, Mark Lee

Purnell, Mark Lee is an individual health care provider with primary practice located at 1450 E Valley Rd , Basalt CO 81621-8304. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Purnell, Mark Lee can be contacted via phone (970) 927-8611.

Contact Information

Primary practice address
1450 E Valley Rd Basalt CO 81621-8304
Phone: (970) 927-8611
Fax: (970) 927-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26418 Colorado

Profile Details

NPI number 1457315566
LBN Legal business name Purnell, Mark Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 6th, 2012 - about 14 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 1457315566 NPPES
Colorado MEDICAID 1264183

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