Broering, Mark Joseph
Broering, Mark Joseph is an sole proprietor health care provider with primary practice located at 10506A Montgomery Rd , Montgomery OH 45242-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Broering, Mark Joseph can be contacted via phone (513) 865-9898.Contact Information
Primary practice address
10506A Montgomery Rd
Montgomery OH 45242-4402
Phone: (513) 865-9898
Fax: (513) 865-9900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35.130473 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.130473 | Ohio |
Profile Details
| NPI number | 1467714824 |
|---|---|
| LBN Legal business name | Broering, Mark Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Oct 10th, 2023 - about last year |
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 | 1467714824 | NPPES |
| Ohio | MEDICAID | 2565399 |
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