Williams, Mark Warnholz

Williams, Mark Warnholz is an individual health care provider with primary practice located at 211 Nw Larch Ave , Redmond OR 97756-1357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Mark Warnholz can be contacted via phone (541) 548-2164.

Contact Information

Primary practice address
211 Nw Larch Ave Redmond OR 97756-1357
Fax: (541) 548-0534
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6536 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD174000 Oregon

Profile Details

NPI number 1942564281
LBN Legal business name Williams, Mark Warnholz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Apr 23rd, 2020 - about 6 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 1942564281 NPPES
Alaska MEDICAID MD8531

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