Garlitz, John Mark
Garlitz, John Mark is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Garlitz, John Mark can be contacted via phone (304) 645-3220.Contact Information
Primary practice address
1464 Jefferson St N
Lewisburg WV 24901-1380
Phone: (304) 645-3220
Fax: (844) 479-4545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 1819 | West Virginia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1819 | West Virginia |
Profile Details
NPI number | 1194758003 |
---|---|
LBN Legal business name | Garlitz, John Mark |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Apr 3rd, 2020 - about 5 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 | 1194758003 | NPPES |
Other | 11076564 | CAQH ID # | |
MEDICAID | 1802009000 | CAQH ID # |
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