Mcmahon, Mark R

Mcmahon, Mark R is an individual health care provider with primary practice located at 3620 Joseph Siewick Dr Suite 100, Fairfax VA 22033-1757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mcmahon, Mark R can be contacted via phone (703) 810-5223.

Contact Information

Primary practice address
3620 Joseph Siewick Dr Suite 100 Fairfax VA 22033-1757
Phone: (703) 810-5223
Fax: (703) 810-5403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101049426 Virginia

Profile Details

NPI number 1497764435
LBN Legal business name Mcmahon, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Oct 28th, 2020 - about 5 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 1497764435 NPPES
Virginia MEDICAID 6409881

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