Zacks, Mark N

Zacks, Mark N is an individual health care provider with primary practice located at 8619 W Grand River Ave Ste. J, Brighton MI 48116-2334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Zacks, Mark N can be contacted via phone (810) 227-6793.

Contact Information

Primary practice address
8619 W Grand River Ave Ste. J Brighton MI 48116-2334
Phone: (810) 227-6793
Fax: (810) 227-5397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MZ035093 Michigan

Profile Details

NPI number 1881658953
LBN Legal business name Zacks, Mark N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 18th, 2009 - about 17 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 1881658953 NPPES
Michigan Other 1144084 1ST HEALTH
Michigan Other M011067 1ST HEALTH
Michigan Other 93648A 1ST HEALTH
Michigan Other 11217890 1ST HEALTH
Michigan MEDICAID 4840320 1ST HEALTH
Michigan Other 700D711040 1ST HEALTH

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