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
Fax: (606) 528-9769
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104888908 NPPES
Kentucky MEDICAID 78015799
Kentucky Other P00884115

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