Hudak, Mark J.

Hudak, Mark J. is an sole proprietor health care provider with primary practice located at 1811 Schneider St Ne Mercy Health Center, Canton OH 44721-3349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hudak, Mark J. can be contacted via phone (330) 588-4884.

Contact Information

Primary practice address
1811 Schneider St Ne Mercy Health Center Canton OH 44721-3349
Phone: (330) 588-4884
Fax: (330) 494-6484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-063048 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35063048 Ohio

Profile Details

NPI number 1215005087
LBN Legal business name Hudak, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Feb 23rd, 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 1215005087 NPPES
Ohio MEDICAID 2176925

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