MARK STEVEN GAWEL NPI 1427160019

NPI Information

NPI: 1427160019
Provider Name: MARK STEVEN GAWEL
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
6652 SAINT JOE RD
FORT WAYNE, IN
ZIP 46835
Phone: (260) 485-7007
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Mark Steven Gawel is a contractor in Fort Wayne, IN. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Mark Steven Gawel NPI is 1427160019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6652 SAINT JOE RD
FORT WAYNE, IN
ZIP 46835-974
Phone: (260) 485-7007
Fax: (260) 486-7887

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	200802140	INDIANA	No
2	171WV0202X	Contractor	Vehicle Modifications	200806100	INDIANA	No
3	171W00000X	Contractor		8824	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200806100 A	MEDICAID	INDIANA
2	200802140 A	MEDICAID	INDIANA
3	610371770	OTHER	INDIANA	DUN & BRADSTREET
4	20-3345786	OTHER	INDIANA	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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