Mahoney, Mark A

Mahoney, Mark A is an sole proprietor health care provider with primary practice located at 2800 4Th St Sw Suite 8, Mason City IA 50401-1596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahoney, Mark A can be contacted via phone (641) 424-0000.

Contact Information

Primary practice address
2800 4Th St Sw Suite 8 Mason City IA 50401-1596
Fax: (641) 424-6762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24900 Iowa

Profile Details

NPI number 1427028554
LBN Legal business name Mahoney, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Mar 30th, 2021 - about 3 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 1427028554 NPPES
Iowa Other 27189 BLUE CROSS OF IOWA #
Iowa MEDICAID 0029413 BLUE CROSS OF IOWA #

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