Mathieson, Mark Eugene
Mathieson, Mark Eugene is an sole proprietor health care provider with primary practice located at 258 Treemonte Dr Ste 258, Orange City FL 32763-7945. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mathieson, Mark Eugene can be contacted via phone (386) 628-3376.Contact Information
Primary practice address
258 Treemonte Dr Ste 258
Orange City FL 32763-7945
Phone: (386) 628-3376
Fax: (386) 877-0188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME128227 | Florida |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35077172M | Ohio |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME128227 | Florida |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME128227 | Florida |
Profile Details
NPI number | 1144315821 |
---|---|
LBN Legal business name | Mathieson, Mark Eugene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | May 29th, 2024 - about 7 months 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 | 1144315821 | NPPES |
Ohio | MEDICAID | 2331631 | |
Ohio | Other | ME1281227 |
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