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MARK W. SHEAFOR DPM PS INC NPI 1972812196


NPI Information

NPI: 1972812196
Provider Name: MARK W. SHEAFOR, DPM, PS, INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3120 SQUALICUM PKWY STE 2
BELLINGHAM, WA
ZIP 98225
Phone: (360) 647-0557
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MARK W. SHEAFOR, DPM, PS, INC is a foot and ankle surgery podiatrist in Bellingham, WA. MARK W. SHEAFOR, DPM, PS, INC NPI is 1972812196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3120 SQUALICUM PKWY STE 2
BELLINGHAM, WA
ZIP 98225-934
Phone: (360) 647-0557
Fax: (360) 733-2892

The provider's authorized official is Mark Whitman Sheafor .
The authorized official title is President and has the following contact phone number (360) 647-0557.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 10/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPO60134920WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DQ7833OTHERWASHINGTONRAILROAD MEDICARE
2G8894823MEDICARE PINWASHINGTON
31054194OTHERWASHINGTONDSHS
46478640001MEDICARE NSCWASHINGTON
51346561446AAOTHERWASHINGTONESSENCE

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: 4/28/2024

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