Lafferty, Mark W
Lafferty, Mark W is an individual health care provider with primary practice located at 2815 Aaronwood Ave Ne , Massillon OH 44646-2371. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lafferty, Mark W can be contacted via phone (330) 837-8300.Contact Information
Primary practice address
2815 Aaronwood Ave Ne
Massillon OH 44646-2371
Phone: (330) 837-8300
Fax: (330) 837-8111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-056424 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35-056424 | Ohio |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 35-056424 | Ohio |
Profile Details
| NPI number | 1336144815 |
|---|---|
| LBN Legal business name | Lafferty, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336144815 | NPPES |
| Ohio | MEDICAID | 0760967 |
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