Walshauser, Mark Andrew

Walshauser, Mark Andrew is an individual health care provider with primary practice located at 321 Regency Park Ste 100 , O Fallon IL 62269-1887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Walshauser, Mark Andrew can be contacted via phone (618) 416-7970.

Contact Information

Primary practice address
321 Regency Park Ste 100 O Fallon IL 62269-1887
Phone: (618) 416-7970
Fax: (618) 416-7971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010024540 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036128331 Illinois

Profile Details

NPI number 1306020664
LBN Legal business name Walshauser, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Dec 12th, 2023 - about 2 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 1306020664 NPPES
Illinois MEDICAID 036128331

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