# MARK W. SHEAFOR, DPM, PS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972812196
- **Authorized official:** DR. MARK WHITMAN SHEAFOR DPM (PRESIDENT)
- **Authorized official phone:** (360) 647-0557

## Contact information

- **Practice address:** 3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
- **Practice address phone:** (360) 647-0557
- **Practice address fax:** (360) 733-2892
- **Mailing address:** 3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
- **Mailing address phone:** (360) 647-0557
- **Mailing address fax:** (360) 733-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60134920 | WA | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 10/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1054194 | DSHS | WA |
| 01 | — | 1346561446AA | ESSENCE | WA |
| 01 | — | DQ7833 | RAILROAD MEDICARE | WA |