Staats, Mark David

Staats, Mark David is an individual health care provider with primary practice located at 3999 Richmond Rd , Beachwood OH 44122-6046. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Staats, Mark David can be contacted via phone (216) 593-5800.

Contact Information

Primary practice address
3999 Richmond Rd Beachwood OH 44122-6046
Phone: (216) 593-5800
Fax: (216) 593-5800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.021564 Ohio

Profile Details

NPI number 1912423914
LBN Legal business name Staats, Mark David
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Aug 21st, 2017 - about 9 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 1912423914 NPPES
Other F07170916 AMERICAN ASSOCIATION OF NURSE PRACTITIONERS

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