Mcmellen, Mark Edward
Mcmellen, Mark Edward is an sole proprietor health care provider with primary practice located at 11600 W Second Pl Trauma Dept., Lakewood CO 80228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mcmellen, Mark Edward can be contacted via phone (314) 251-6440.Contact Information
Primary practice address
11600 W Second Pl Trauma Dept.
Lakewood CO 80228
Phone: (314) 251-6440
Fax: (314) 251-4456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2009012459 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2009012459 | Missouri |
Profile Details
| NPI number | 1053597955 |
|---|---|
| LBN Legal business name | Mcmellen, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Nov 30th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053597955 | NPPES |
| Missouri | MEDICAID | 1053597955 |
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