Souder, Mark Steven
Souder, Mark Steven is an sole proprietor health care provider with primary practice located at 1310 E 7Th St , Auburn IN 46706-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Souder, Mark Steven can be contacted via phone (260) 925-0305.Contact Information
Primary practice address
1310 E 7Th St
Auburn IN 46706-2534
Phone: (260) 925-0305
Fax: (260) 925-6041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01026373A | Indiana |
Profile Details
| NPI number | 1245218973 |
|---|---|
| LBN Legal business name | Souder, Mark Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Oct 1st, 2008 - about 17 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 | 1245218973 | NPPES |
| Other | 081664279 | RR MEDICARE | |
| MEDICAID | 100053210A | RR MEDICARE | |
| Other | 000000083986 | RR MEDICARE |
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