Douthit, Mark B

Douthit, Mark B is an individual health care provider with primary practice located at 2301 House Ave Ste 301B , Cheyenne WY 82001-3176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Douthit, Mark B can be contacted via phone (307) 778-1849.

Contact Information

Primary practice address
2301 House Ave Ste 301B Cheyenne WY 82001-3176
Phone: (307) 778-1849
Fax: (307) 778-4995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29696 Colorado
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 29696 Colorado
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 11195A Wyoming

Profile Details

NPI number 1326038555
LBN Legal business name Douthit, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Apr 5th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326038555 NPPES
Colorado MEDICAID 01296961
Colorado MEDICAID 1326038555
Colorado MEDICAID 133577400
Colorado Other P00970361

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