Mann, Mark Blaine
Mann, Mark Blaine is an sole proprietor health care provider with primary practice located at 90 N 30Th St Suite 4, Clinton OK 73601-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mann, Mark Blaine can be contacted via phone (580) 323-0232.Contact Information
Primary practice address
90 N 30Th St Suite 4
Clinton OK 73601-3101
Phone: (580) 323-0232
Fax: (580) 331-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20775 | Oklahoma |
Profile Details
| NPI number | 1184649584 |
|---|---|
| LBN Legal business name | Mann, Mark Blaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184649584 | NPPES |
| Oklahoma | MEDICAID | 100107150C | |
| Oklahoma | MEDICAID | 100107150D | |
| Oklahoma | Other | 4436060740001 |
Popular Providers
-
Natal, Norma Iris
Rr 1 Box 3060 , Clinton OK 73601-9303 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Hays, Gary Lynn
540 S 30Th St , Clinton OK 73601-3631 -
Hernandez, Jerry
1701 S 4Th St , Clinton OK 73601-2309 -
Hunter, Brek
123 S 9Th St , Clinton OK 73601-3328 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Blakeburn, Robert Van
800 Frisco Ave , Clinton OK 73601-3306