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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548264872 | NPPES |
| Ohio | MEDICAID | 0285767 | |
| Ohio | Other | 300067614 |
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