Hartley, Mark C
Hartley, Mark C is an individual health care provider with primary practice located at 1850 Town Center Pkwy Suite 400, Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hartley, Mark C can be contacted via phone (703) 810-5202.Contact Information
Primary practice address
1850 Town Center Pkwy Suite 400
Reston VA 20190-3219
Phone: (703) 810-5202
Fax: (703) 787-9664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101041921 | Virginia |
Profile Details
| NPI number | 1285655035 |
|---|---|
| LBN Legal business name | Hartley, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285655035 | NPPES |
| Other | DC1555 | MEDICARE RAILROAD GROUP | |
| MEDICAID | 6402038 | MEDICARE RAILROAD GROUP | |
| Other | P00151220 | MEDICARE RAILROAD GROUP |
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