Issa, Mark G
Issa, Mark G is an individual health care provider with primary practice located at 2940 N Mccord Rd , Toledo OH 43615-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Issa, Mark G can be contacted via phone (419) 842-3000.Contact Information
Primary practice address
2940 N Mccord Rd
Toledo OH 43615-1753
Phone: (419) 842-3000
Fax: (419) 842-3042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34006858I | Ohio |
Profile Details
| NPI number | 1053313346 |
|---|---|
| LBN Legal business name | Issa, Mark G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | May 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053313346 | NPPES |
| Ohio | MEDICAID | 2089734 | |
| Ohio | Other | P00711886 |
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