Markwood, Thor

Markwood, Thor is an individual health care provider with primary practice located at 2211 Genesee St Suite 200, Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Markwood, Thor can be contacted via phone (315) 733-7598.

Contact Information

Primary practice address
2211 Genesee St Suite 200 Utica NY 13501-5930
Fax: (315) 733-2102
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 245234 New York

Profile Details

NPI number 1134212616
LBN Legal business name Markwood, Thor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 13th, 2012 - about 12 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 1134212616 NPPES
New York MEDICAID 02879972

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