Wald, Mark S

Wald, Mark S is an individual health care provider with primary practice located at 6 Jungermann Cir Suite 210, Saint Peters MO 63376-1621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wald, Mark S can be contacted via phone (636) 441-6056.

Contact Information

Primary practice address
6 Jungermann Cir Suite 210 Saint Peters MO 63376-1621
Phone: (636) 441-6056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R8691 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036081636 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X R8691 Missouri
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036081636 Illinois

Profile Details

NPI number 1194716688
LBN Legal business name Wald, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 31st, 2012 - about 14 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 1194716688 NPPES
Missouri MEDICAID 201751005
Missouri Other 290009909
Missouri Other 29007538

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