Ward, Mark Alan

Ward, Mark Alan is an sole proprietor health care provider with primary practice located at 355 Las Vegas St , Morro Bay CA 93442-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ward, Mark Alan can be contacted via phone (805) 772-7100.

Contact Information

Primary practice address
355 Las Vegas St Morro Bay CA 93442-1548
Phone: (805) 772-7100
Fax: (805) 772-7776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A83686 California

Profile Details

NPI number 1639110257
LBN Legal business name Ward, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Apr 30th, 2024 - 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 1639110257 NPPES
California Other 00A836860 BLUE SHIELD
California MEDICAID 00A836860 BLUE SHIELD

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