Rumancik, Mark
Rumancik, Mark is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Entrance 11, Suite 330, Fort Wayne IN 46845-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rumancik, Mark can be contacted via phone (260) 494-3484.Contact Information
Primary practice address
11104 Parkview Circle Dr Entrance 11, Suite 330
Fort Wayne IN 46845-1730
Phone: (260) 494-3484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01041312A | Indiana |
Profile Details
| NPI number | 1467454470 |
|---|---|
| LBN Legal business name | Rumancik, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Nov 12th, 2020 - about 6 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 | 1467454470 | NPPES |
| Ohio | MEDICAID | 0929151 | |
| Ohio | MEDICAID | 100360480 | |
| Ohio | Other | 000000095601 | |
| Ohio | Other | 100082060 |
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