Wheeler, Mark A
Wheeler, Mark A is an individual health care provider with primary practice located at 110 Irving St Nw Room G-226, Washington DC 20010-3017. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Wheeler, Mark A can be contacted via phone (202) 877-7504.Contact Information
Primary practice address
110 Irving St Nw Room G-226
Washington DC 20010-3017
Phone: (202) 877-7504
Fax: (202) 877-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1981 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | AA000026 | District of Columbia |
Profile Details
| NPI number | 1124001409 |
|---|---|
| LBN Legal business name | Wheeler, Mark A |
| Credentials | PA-C, AA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Sep 15th, 2010 - about 16 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 | 1124001409 | NPPES |
| Arizona | MEDICAID | 374405 | |
| Arizona | Other | 970004191 | |
| Arizona | Other | 86080015085260A056 |
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