Mahan, Marilyn M

Mahan, Marilyn M is an individual health care provider with primary practice located at 1919 State St Ste 340, New Albany IN 47150-6807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mahan, Marilyn M can be contacted via phone (812) 945-5233.

Contact Information

Primary practice address
1919 State St Ste 340 New Albany IN 47150-6807
Phone: (812) 945-5233
Fax: (812) 945-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01041218 Indiana
Other Service Providers / Specialist 174400000X 01041218 Indiana

Profile Details

NPI number 1881699098
LBN Legal business name Mahan, Marilyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 5th, 2020 - about 4 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 1881699098 NPPES
Indiana MEDICAID 100351700A
Indiana Other 160032166
Indiana Other 000000042427

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