Cimino, Mark Allen
Cimino, Mark Allen is an sole proprietor health care provider with primary practice located at 1111 Homer Rd , Minden LA 71055-3027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cimino, Mark Allen can be contacted via phone (318) 377-7500.Contact Information
Primary practice address
1111 Homer Rd
Minden LA 71055-3027
Phone: (318) 377-7500
Fax: (318) 377-2324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15018R | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E3519 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3519 | Arkansas |
Profile Details
| NPI number | 1740282490 |
|---|---|
| LBN Legal business name | Cimino, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 7th, 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 | 1740282490 | NPPES |
| Louisiana | MEDICAID | 1422878 | |
| Louisiana | Other | LA15018R | |
| Louisiana | Other | 030637 | |
| Louisiana | MEDICAID | 1422878 |
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