Main, Mark Thomas

Main, Mark Thomas is an individual health care provider with primary practice located at 2221 Grube St , Springfield OH 45503-2642. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Main, Mark Thomas can be contacted via phone (937) 399-8941.

Contact Information

Primary practice address
2221 Grube St Springfield OH 45503-2642
Phone: (937) 399-8941
Fax: (937) 399-5639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2106 Ohio

Profile Details

NPI number 1629053129
LBN Legal business name Main, Mark Thomas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1629053129 NPPES
Ohio MEDICAID 052144
Ohio Other 31 110415400

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