Corcoran, Mark E
Corcoran, Mark E is an individual health care provider with primary practice located at 512 S Burnett Rd , Springfield OH 45505-2720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Corcoran, Mark E can be contacted via phone (937) 328-3385.Contact Information
Primary practice address
512 S Burnett Rd
Springfield OH 45505-2720
Phone: (937) 328-3385
Fax: (937) 328-3387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35.053772 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.053772 | Ohio |
Profile Details
| NPI number | 1740220854 |
|---|---|
| LBN Legal business name | Corcoran, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 2nd, 2019 - about 6 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 | 1740220854 | NPPES |
| Ohio | MEDICAID | 0629341 |
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