King, Mark A

King, Mark A is an individual health care provider with primary practice located at 2500 John Glenn Hwy , Cambridge OH 43725-9028. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. King, Mark A can be contacted via phone (740) 439-4428.

Contact Information

Primary practice address
2500 John Glenn Hwy Cambridge OH 43725-9028
Phone: (740) 439-4428
Fax: (740) 439-3389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X W.1900200 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639682537
LBN Legal business name King, Mark A
Credentials AAS,SWA, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated May 5th, 2021 - about 3 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 1639682537 NPPES
Ohio MEDICAID 0436404

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