Hans, Mark G

Hans, Mark G is an individual health care provider with primary practice located at 347 Front St , Berea OH 44017-1771. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hans, Mark G can be contacted via phone (440) 243-6724.

Contact Information

Primary practice address
347 Front St Berea OH 44017-1771
Phone: (440) 243-6724
Fax: (440) 243-5962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 16067 Ohio

Profile Details

NPI number 1326119983
LBN Legal business name Hans, Mark G
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1326119983 NPPES
Ohio MEDICAID 0710681

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