Loomis, Mario G

Loomis, Mario G is an sole proprietor health care provider with primary practice located at 225 Dolson Ave Suite 302, Middletown NY 10940-6569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Loomis, Mario G can be contacted via phone (845) 342-6884.

Contact Information

Primary practice address
225 Dolson Ave Suite 302 Middletown NY 10940-6569
Phone: (845) 342-6884
Fax: (845) 342-4989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 198000 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD046328L Pennsylvania
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 69053 New Jersey

Profile Details

NPI number 1780778522
LBN Legal business name Loomis, Mario G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780778522 NPPES
New York MEDICAID 01553864

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