Fetko, Mark
Fetko, Mark is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fetko, Mark can be contacted via phone (614) 293-8487.Contact Information
Primary practice address
410 W 10Th Ave
Columbus OH 43210
Phone: (614) 293-8487
Fax: (614) 293-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35-056338 | Ohio |
Profile Details
| NPI number | 1871563072 |
|---|---|
| LBN Legal business name | Fetko, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 9th, 2024 - about 7 months 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 | 1871563072 | NPPES |
| Ohio | MEDICAID | 747562 |
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