Alfonso, Mark

Alfonso, Mark is an individual health care provider with primary practice located at 3525 Olentangy River Rd Ste 5360, Columbus OH 43214-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alfonso, Mark can be contacted via phone (614) 340-7747.

Contact Information

Primary practice address
3525 Olentangy River Rd Ste 5360 Columbus OH 43214-3937
Phone: (614) 340-7747
Fax: (614) 340-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35070426 Ohio

Profile Details

NPI number 1548264872
LBN Legal business name Alfonso, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548264872 NPPES
Ohio MEDICAID 0285767
Ohio Other 300067614

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