Brown, Mark R
Brown, Mark R is an individual health care provider with primary practice located at 442 Stachler Dr , St Henry OH 45883-9582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Mark R can be contacted via phone (419) 678-2371.Contact Information
Primary practice address
442 Stachler Dr
St Henry OH 45883-9582
Phone: (419) 678-2371
Fax: (419) 678-4783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34 005329 | Ohio |
Profile Details
| NPI number | 1982604880 |
|---|---|
| LBN Legal business name | Brown, Mark R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Feb 15th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982604880 | NPPES |
| Ohio | MEDICAID | 0931782 | |
| Ohio | Other | 0234455 | |
| Ohio | Other | 9282991 |
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