Mark William Ealovega in Brighton - Internal Medicine
Mark William Ealovega - NPI 1134218001
Mark William Ealovega is a Internal Medicine in Brighton, Michigan. Mark William Ealovega practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark William Ealovega is 1134218001. The last update date is 2012-03-01.
Mark William Ealovega's current location address is 8001 Challis Rd, Brighton, Michigan. You can contact this provider via phone number 8102279510. The mailing address for Mark William Ealovega is 8001 Challis Rd, Brighton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Ealovega |
|---|---|
| Address | 8001 Challis Rd, Brighton, Michigan |
| Phone Number | 8102279510 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134218001 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2012-03-01 |
Provider Mailing Address Detail
| Address | 8001 Challis Rd |
|---|---|
| City | Brighton |
| State | Michigan (MI) |
| Post Code | 481167446 |
| Phone Number | 8102279510 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301076222 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4519652 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark William Ealovega by the Centers for Medicare & Medicaid Services?
The Mark William Ealovega has been issued the NPI (National Provider Identifier) 1134218001. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark William Ealovega?
The Mark William Ealovega is situated at 8001 Challis Rd, in the city of Brighton, state of MI, with the zip code 481167446.
What is Mark William Ealovega's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark William Ealovega's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134218001 to Mark William Ealovega?
The Centers for Medicare & Medicaid Services originally issued the 1134218001 to Mark William Ealovega on 2006-10-11.
As of what date was the information regarding Mark William Ealovega, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark William Ealovega, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-01.