Hathaway, Mark
Hathaway, Mark is an individual health care provider with primary practice located at 110 Irving St Nw Suite 5B-33, Washington DC 20010-2976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hathaway, Mark can be contacted via phone (202) 877-7028.Contact Information
Primary practice address
110 Irving St Nw Suite 5B-33
Washington DC 20010-2976
Phone: (202) 877-7028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD21559 | District of Columbia |
Profile Details
| NPI number | 1720068133 |
|---|---|
| LBN Legal business name | Hathaway, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 7th, 2012 - about 12 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 | 1720068133 | NPPES |
| District of Columbia | MEDICAID | 025687900 | |
| District of Columbia | MEDICAID | 759210800 |
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