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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053597955 NPPES
Missouri MEDICAID 1053597955

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