Zenoniani, Marc A
Zenoniani, Marc A is an sole proprietor health care provider with primary practice located at 1185 South Elm St , Canby OR 97013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Zenoniani, Marc A can be contacted via phone (503) 723-4660.Contact Information
Primary practice address
1185 South Elm St
Canby OR 97013
Phone: (503) 723-4660
Fax: (503) 266-6649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD26839 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD26839 | Oregon |
Profile Details
| NPI number | 1801802392 |
|---|---|
| LBN Legal business name | Zenoniani, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Sep 29th, 2010 - about 15 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 | 1801802392 | NPPES |
| Oregon | MEDICAID | 240159 |
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