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Contact Information

MARK SHEARER I, DPM
160 RIDGE ROAD
LYNDHURST , NJ07071
 Phone: 201-939-9098
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK SHEARER I · (Male)

NPI # 1376950113
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/14/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00338000
  • NY License # P93821
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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