Horan, Mark Alan

Horan, Mark Alan is an individual health care provider with primary practice located at 1001 Towson Ave Er Dept., Fort Smith AR 72901-4921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Horan, Mark Alan can be contacted via phone (479) 441-5011.

Contact Information

Primary practice address
1001 Towson Ave Er Dept. Fort Smith AR 72901-4921
Phone: (479) 441-5011
Fax: (405) 749-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C8520 Arkansas

Profile Details

NPI number 1114989530
LBN Legal business name Horan, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 10th, 2008 - about 16 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 1114989530 NPPES
Oklahoma MEDICAID 100029050A
Oklahoma MEDICAID 124673001

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