Maris, Mahlon Ogden
Maris, Mahlon Ogden is an individual health care provider with primary practice located at 715 W Sherman Ave Suite G, Harrison AR 72601-2743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maris, Mahlon Ogden can be contacted via phone (870) 741-8247.Contact Information
Primary practice address
715 W Sherman Ave Suite G
Harrison AR 72601-2743
Phone: (870) 741-8247
Fax: (870) 741-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C4123 | Arkansas |
Profile Details
| NPI number | 1275508061 |
|---|---|
| LBN Legal business name | Maris, Mahlon Ogden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 1st, 2009 - about 15 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 | 1275508061 | NPPES |
| Arkansas | MEDICAID | 101262001 |
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