Bondurant, Mark Aaron

Bondurant, Mark Aaron is an individual health care provider with primary practice located at 2601 S Smithville Rd , Dayton OH 45420-2641. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bondurant, Mark Aaron can be contacted via phone (937) 253-3166.

Contact Information

Primary practice address
2601 S Smithville Rd Dayton OH 45420-2641
Phone: (937) 253-3166
Fax: (937) 253-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-2-13193 Ohio

Profile Details

NPI number 1619953122
LBN Legal business name Bondurant, Mark Aaron
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 18 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 1619953122 NPPES
Ohio MEDICAID 0477041
Ohio Other 3638422

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