Griffith, Mark Nutter
Griffith, Mark Nutter is an individual health care provider with primary practice located at 1000 Mon Health Medical Park Dr Ste 1102 , Morgantown WV 26505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Griffith, Mark Nutter can be contacted via phone (304) 598-2801.Contact Information
Primary practice address
1000 Mon Health Medical Park Dr Ste 1102
Morgantown WV 26505
Phone: (304) 598-2801
Fax: (304) 599-6463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 28054 | West Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25206 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 65883 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25206 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 28054 | West Virginia |
Profile Details
| NPI number | 1710912399 |
|---|---|
| LBN Legal business name | Griffith, Mark Nutter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 15th, 2018 - about 7 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 | 1710912399 | NPPES |
| Kentucky | Other | 4000501 | MEDICARE LAB GROUP |
| Kentucky | Other | P00179690 | MEDICARE LAB GROUP |
| Kentucky | Other | 36000818 | MEDICARE LAB GROUP |
| Kentucky | Other | CB5773 | MEDICARE LAB GROUP |
| Kentucky | Other | 37903705 | MEDICARE LAB GROUP |
| Kentucky | MEDICAID | 64089907 | MEDICARE LAB GROUP |
| Kentucky | Other | ASC1019 | MEDICARE LAB GROUP |
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