Mcdonald, Mark J

Mcdonald, Mark J is an individual health care provider with primary practice located at 200 E Chestnut St , Louisville KY 40202-1831. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Mcdonald, Mark J can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
200 E Chestnut St Louisville KY 40202-1831
Phone: (502) 629-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 32116 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32116 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 32116 Kentucky

Profile Details

NPI number 1902876584
LBN Legal business name Mcdonald, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 26th, 2024 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902876584 NPPES
South Carolina MEDICAID T66265
South Carolina MEDICAID 200188960
South Carolina MEDICAID 64321169

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