Mahoney, Mark T

Mahoney, Mark T is an sole proprietor health care provider with primary practice located at 100 College Drive , Martinsville VA 24112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahoney, Mark T can be contacted via phone (276) 666-0500.

Contact Information

Primary practice address
100 College Drive Martinsville VA 24112
Phone: (276) 666-0500
Fax: (276) 666-0400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201617 Virginia

Profile Details

NPI number 1689863615
LBN Legal business name Mahoney, Mark T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated May 12th, 2015 - about 10 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 1689863615 NPPES
Virginia Other 146677 ANTHEM
Virginia Other 00W138M01 ANTHEM
Virginia Other 9960505 ANTHEM
Virginia Other 283562 ANTHEM
Virginia MEDICAID 010098467 ANTHEM
Virginia Other 7547584 ANTHEM

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