Hoerman, Mark

Hoerman, Mark is an individual health care provider with primary practice located at 1811 Edwina Dr , Vidalia GA 30474-8963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Hoerman, Mark can be contacted via phone (912) 538-8105.

Contact Information

Primary practice address
1811 Edwina Dr Vidalia GA 30474-8963
Phone: (912) 538-8105
Fax: (912) 538-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 070272 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 070272 Georgia

Profile Details

NPI number 1366440984
LBN Legal business name Hoerman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Oct 17th, 2019 - about 5 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 1366440984 NPPES
Other 2849327 AETNA
Other P55286567 AETNA
Other 71847 AETNA
MEDICAID 003138585A AETNA
Other P2017338 AETNA
Other 2K1057 AETNA

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