Mcginnis, Mark Douglas

Mcginnis, Mark Douglas is an individual health care provider with primary practice located at 1215 Old Main St Ste 500B , Hartford KY 42347-1619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mcginnis, Mark Douglas can be contacted via phone (270) 730-5344.

Contact Information

Primary practice address
1215 Old Main St Ste 500B Hartford KY 42347-1619
Phone: (270) 730-5344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2012003467 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 46213 Kentucky

Profile Details

NPI number 1528276029
LBN Legal business name Mcginnis, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Mar 19th, 2024 - about last year

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 1528276029 NPPES
Kentucky MEDICAID 7100132770
Kentucky MEDICAID 201195300

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