Shulman, Mark S

Shulman, Mark S is an sole proprietor health care provider with primary practice located at 1414 Manera Ventosa , San Clemente CA 92673-3663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shulman, Mark S can be contacted via phone (413) 813-9539.

Contact Information

Primary practice address
1414 Manera Ventosa San Clemente CA 92673-3663
Phone: (413) 813-9539
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G36884 California

Profile Details

NPI number 1275520371
LBN Legal business name Shulman, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Dec 20th, 2023 - about 3 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 1275520371 NPPES
Massachusetts MEDICAID 3043118

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