Reisman, Mark S.

Reisman, Mark S. is an individual health care provider with primary practice located at 275 W Macarthur , Oakland CA 94611-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Reisman, Mark S. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G54329 California

Profile Details

NPI number 1124106919
LBN Legal business name Reisman, Mark S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 17th, 2014 - about 12 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 1124106919 NPPES
California MEDICAID 00G543290

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