Blue, John Mark

Blue, John Mark is an individual health care provider with primary practice located at 844 Washington Road Suite 102, Westminster MD 21157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blue, John Mark can be contacted via phone (410) 871-0088.

Contact Information

Primary practice address
844 Washington Road Suite 102 Westminster MD 21157
Fax: (410) 871-0083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D50329 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0050329 Maryland

Profile Details

NPI number 1275579997
LBN Legal business name Blue, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 11th, 2013 - about 11 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 1275579997 NPPES
Maryland MEDICAID 811900700

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