Kootz, Mark Alan

Kootz, Mark Alan is an individual health care provider with primary practice located at 6190 Georgetown Blvd Suite 108, Eldersburg MD 21784-6460. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kootz, Mark Alan can be contacted via phone (410) 552-4235.

Contact Information

Primary practice address
6190 Georgetown Blvd Suite 108 Eldersburg MD 21784-6460
Fax: (410) 552-4248
Website:

Health care specialties

Profile Details

NPI number 1346206679
LBN Legal business name Kootz, Mark Alan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 20th, 2023 - about 2 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 1346206679 NPPES
Maryland Other 36948 JHHC
Maryland Other 382668 JHHC
Maryland Other 4368142 JHHC
Maryland MEDICAID 023348001 JHHC
Maryland Other 53024404 JHHC
Maryland Other 3201864 JHHC
Maryland Other 4761-0101 JHHC

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