Suski, Mark D
Suski, Mark D is an individual health care provider with primary practice located at 2166 N Moorpark Road Suite 102, Thousand Oaks CA 91360-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Suski, Mark D can be contacted via phone (805) 494-3330.Contact Information
Primary practice address
2166 N Moorpark Road Suite 102
Thousand Oaks CA 91360-5009
Phone: (805) 494-3330
Fax: (805) 494-1255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | G76464 | California |
Profile Details
| NPI number | 1093886731 |
|---|---|
| LBN Legal business name | Suski, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Dec 18th, 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 | 1093886731 | NPPES |
| California | MEDICAID | 00G764640 | |
| California | Other | 2086S0122X |
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