Hatfield, Mark Edward

Hatfield, Mark Edward is an individual health care provider with primary practice located at 2325 18Th St Ste 130 , Columbus IN 47201-5387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hatfield, Mark Edward can be contacted via phone (812) 379-2020.

Contact Information

Primary practice address
2325 18Th St Ste 130 Columbus IN 47201-5387
Fax: (812) 378-8267
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01036919A Indiana

Profile Details

NPI number 1619046158
LBN Legal business name Hatfield, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 28th, 2022 - about 2 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 1619046158 NPPES
Kentucky Other 64879604 KENTUCKY MEDICAID
Kentucky MEDICAID 100343100 KENTUCKY MEDICAID
Kentucky Other 060020869 KENTUCKY MEDICAID
Kentucky Other 000000088174 KENTUCKY MEDICAID
Kentucky Other 000000984928 KENTUCKY MEDICAID
Kentucky Other 011275P KENTUCKY MEDICAID

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