Mammoth, Mark
Mammoth, Mark is an sole proprietor health care provider with primary practice located at 1 Wahoo Drive Naval Branch Health Clinic, Groton CT 06349-5600. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mammoth, Mark can be contacted via phone (860) 694-2377.Contact Information
Primary practice address
1 Wahoo Drive Naval Branch Health Clinic
Groton CT 06349-5600
Phone: (860) 694-2377
Fax: (860) 694-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1760668792 |
|---|---|
| LBN Legal business name | Mammoth, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Jan 22nd, 2008 - 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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