Rondeau, Mark Allen
Rondeau, Mark Allen is an sole proprietor health care provider with primary practice located at 124 Nw Midland Ave , Grants Pass OR 97526-1269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rondeau, Mark Allen can be contacted via phone (541) 476-8859.Contact Information
Primary practice address
124 Nw Midland Ave
Grants Pass OR 97526-1269
Phone: (541) 476-8859
Fax: (541) 955-8611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22314 | Oregon |
Profile Details
| NPI number | 1518964766 |
|---|---|
| LBN Legal business name | Rondeau, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 28th, 2018 - about 8 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 | 1518964766 | NPPES |
| Oregon | MEDICAID | 288514 |
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