Hepworth, Mark Thomas

Hepworth, Mark Thomas is an individual health care provider with primary practice located at 1200 1St Ave E Ste 1 , Spencer IA 51301-4330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Hepworth, Mark Thomas can be contacted via phone (712) 264-6228.

Contact Information

Primary practice address
1200 1St Ave E Ste 1 Spencer IA 51301-4330
Phone: (712) 264-6228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G162956 Iowa

Profile Details

NPI number 1487232302
LBN Legal business name Hepworth, Mark Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2021
Last updated Mar 31st, 2021 - about 4 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 1487232302 NPPES
Iowa Other G162956 ARNP LICENSE NUMBER

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