Walterskirchen, Mark J.
Walterskirchen, Mark J. is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 370, Springfield MO 65804-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Walterskirchen, Mark J. can be contacted via phone (417) 820-0300.Contact Information
Primary practice address
1965 S Fremont Ave Suite 370
Springfield MO 65804-2201
Phone: (417) 820-0300
Fax: (417) 882-9645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD00048487 | Washington |
Profile Details
| NPI number | 1083637524 |
|---|---|
| LBN Legal business name | Walterskirchen, Mark J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083637524 | NPPES |
| Missouri | Other | 340017773 | RR MEDICARE PROV. # |
| Missouri | Other | 1083637524 | RR MEDICARE PROV. # |
| Missouri | MEDICAID | 204964605 | RR MEDICARE PROV. # |
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