Studley, Mark A

Studley, Mark A is an individual health care provider with primary practice located at 1320 E Division , Mount Vernon WA 98274-4196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Studley, Mark A can be contacted via phone (360) 424-6161.

Contact Information

Primary practice address
1320 E Division Mount Vernon WA 98274-4196
Phone: (360) 424-6161
Fax: (360) 848-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00012419 Washington

Profile Details

NPI number 1023081874
LBN Legal business name Studley, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1023081874 NPPES
Washington Other 47767 L AND I
Washington MEDICAID 8113508 L AND I

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