Mcmurtrey, Mark R
Mcmurtrey, Mark R is an individual health care provider with primary practice located at 11161 Randolph St , Crown Point IN 46307-8564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmurtrey, Mark R can be contacted via phone (219) 662-9424.Contact Information
Primary practice address
11161 Randolph St
Crown Point IN 46307-8564
Phone: (219) 662-9424
Fax: (219) 662-7465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01053168 | Indiana |
Profile Details
| NPI number | 1467459750 |
|---|---|
| LBN Legal business name | Mcmurtrey, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | May 2nd, 2013 - about 11 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 | 1467459750 | NPPES |
| Indiana | MEDICAID | 200386920 | |
| Indiana | Other | 000000722505 |
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