Rasmus, Mark A

Rasmus, Mark A is an individual health care provider with primary practice located at 7272 Potomac , Boise ID 83704. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Specialist is his primary health care specialty. Rasmus, Mark A can be contacted via phone (208) 884-2922.

Contact Information

Primary practice address
7272 Potomac Boise ID 83704
Phone: (208) 884-2922
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-9630 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M9630 Idaho

Profile Details

NPI number 1528106309
LBN Legal business name Rasmus, Mark A
Credentials MD-PULM/SM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528106309 NPPES
Idaho Other 000010157357 BLUE SHIELD
Idaho Other 76944 BLUE SHIELD
Idaho MEDICAID 807530600 BLUE SHIELD

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