Bannon, Mark

Bannon, Mark is an individual health care provider with primary practice located at 1600 Medical Center Dr , Huntington WV 25701-3656. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bannon, Mark can be contacted via phone (304) 691-1095.

Contact Information

Primary practice address
1600 Medical Center Dr Huntington WV 25701-3656
Phone: (304) 691-1095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7692 Oklahoma
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 7692 Oklahoma
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 7692 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1326613936
LBN Legal business name Bannon, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated Jul 16th, 2024 - about 5 months 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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