Coyne, Mark Xavier
Coyne, Mark Xavier is an individual health care provider with primary practice located at 186 Thomas Johnson Dr Suite 104, Frederick MD 21702-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Coyne, Mark Xavier can be contacted via phone (301) 695-6466.Contact Information
Primary practice address
186 Thomas Johnson Dr Suite 104
Frederick MD 21702-4305
Phone: (301) 695-6466
Fax: (301) 695-1094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D0029521 | Maryland |
Profile Details
| NPI number | 1851393896 |
|---|---|
| LBN Legal business name | Coyne, Mark Xavier |
| Credentials | MD PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 17th, 2008 - about 16 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 | 1851393896 | NPPES |
| Maryland | MEDICAID | 334631500 |
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