Bidwell, Mark

Bidwell, Mark is an individual health care provider with primary practice located at 3533 Southern Blvd Suite 4100, Kettering OH 45429-1264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Bidwell, Mark can be contacted via phone (937) 395-8444.

Contact Information

Primary practice address
3533 Southern Blvd Suite 4100 Kettering OH 45429-1264
Phone: (937) 395-8444
Fax: (937) 395-8450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 35052666 Ohio

Profile Details

NPI number 1801980784
LBN Legal business name Bidwell, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 28th, 2014 - about 10 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 1801980784 NPPES
Other 884330E AMERICAN BD. OF OBGYN
MEDICAID 0599946 AMERICAN BD. OF OBGYN
Other 38587 AMERICAN BD. OF OBGYN

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