Delworth, Mark G
Delworth, Mark G is an individual health care provider with primary practice located at 10220 Alliance Rd , Blue Ash OH 45242-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Delworth, Mark G can be contacted via phone (513) 841-7800.Contact Information
Primary practice address
10220 Alliance Rd
Blue Ash OH 45242-4710
Phone: (513) 841-7800
Fax: (513) 841-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35-06-8560 | Ohio |
Profile Details
| NPI number | 1275579856 |
|---|---|
| LBN Legal business name | Delworth, Mark G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 2nd, 2014 - about 10 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 | 1275579856 | NPPES |
| Kentucky | MEDICAID | 64955321 | |
| Kentucky | MEDICAID | 0143080 | |
| Kentucky | Other | 490003987 | |
| Kentucky | MEDICAID | 0276946 |
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