Horattas, Mark C

Horattas, Mark C is an sole proprietor health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307-2433. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Horattas, Mark C can be contacted via phone (330) 344-6699.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307-2433
Fax: (330) 344-6959
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35053968 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35053968 Ohio

Profile Details

NPI number 1922096817
LBN Legal business name Horattas, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Dec 14th, 2011 - 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 1922096817 NPPES
Ohio MEDICAID 0784469

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