Haycox, Mark

Haycox, Mark is an sole proprietor health care provider with primary practice located at 9333 N Church Dr #203, Parma Heights OH 44130-4784. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Haycox, Mark can be contacted via phone (440) 843-7279.

Contact Information

Primary practice address
9333 N Church Dr #203 Parma Heights OH 44130-4784
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 0168660 Ohio

Profile Details

NPI number 1609321694
LBN Legal business name Haycox, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2016
Last updated Aug 18th, 2016 - about 8 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 1609321694 NPPES
Ohio MEDICAID 0168660

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