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
Phone: (410) 552-4235
Fax: (410) 552-4248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 17624 | Maryland |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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