Allen, Mark Wayne
Allen, Mark Wayne is an individual health care provider with primary practice located at 333 Laidley St Hmg Hospitalist Office, Charleston WV 25301-1614. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Allen, Mark Wayne can be contacted via phone (304) 347-6116.Contact Information
Primary practice address
333 Laidley St Hmg Hospitalist Office
Charleston WV 25301-1614
Phone: (304) 347-6116
Fax: (304) 347-6117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19909 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19909 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19909 | West Virginia |
Profile Details
| NPI number | 1891779047 |
|---|---|
| LBN Legal business name | Allen, Mark Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Apr 19th, 2010 - about 14 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 | 1891779047 | NPPES |
| West Virginia | Other | 1891779047 | BLUE SHIELD |
| West Virginia | MEDICAID | 3002489000 | BLUE SHIELD |
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