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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1720068133 NPPES
District of Columbia MEDICAID 025687900
District of Columbia MEDICAID 759210800

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