Gloudeman, Mark B.

Gloudeman, Mark B. is an individual health care provider with primary practice located at 541 Sunset Ln Suite 103, Culpeper VA 22701-3979. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gloudeman, Mark B. can be contacted via phone (540) 825-4440.

Contact Information

Primary practice address
541 Sunset Ln Suite 103 Culpeper VA 22701-3979
Phone: (540) 825-4440
Fax: (540) 825-4026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101043825 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101043825 Virginia

Profile Details

NPI number 1750306825
LBN Legal business name Gloudeman, Mark B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750306825 NPPES
Virginia MEDICAID 010192471

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