Desilvio, Mark S
Desilvio, Mark S is an sole proprietor health care provider with primary practice located at 735 Haskins Rd , Bowling Green OH 43402-1638. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Desilvio, Mark S can be contacted via phone (419) 352-8110.Contact Information
Primary practice address
735 Haskins Rd
Bowling Green OH 43402-1638
Phone: (419) 352-8110
Fax: (419) 354-1425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36001882D | Ohio |
Profile Details
NPI number | 1447257506 |
---|---|
LBN Legal business name | Desilvio, Mark S |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1447257506 | NPPES |
Ohio | MEDICAID | 0408991 |
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