Golden, Mark A.
Golden, Mark A. is an individual health care provider with primary practice located at 60 S Stewart Rd , Corbin KY 40701-4675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Golden, Mark A. can be contacted via phone (606) 528-9770.Contact Information
Primary practice address
60 S Stewart Rd
Corbin KY 40701-4675
Phone: (606) 528-9770
Fax: (606) 528-9769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3004618 | Kentucky |
Profile Details
NPI number | 1104888908 |
---|---|
LBN Legal business name | Golden, Mark A. |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2006 |
Last updated | Jul 7th, 2014 - about 10 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 | 1104888908 | NPPES |
Kentucky | MEDICAID | 78015799 | |
Kentucky | Other | P00884115 |
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