Minium, Mark M.
Minium, Mark M. is an individual health care provider with primary practice located at 1412 Bridge St , New Cumberland PA 17070-1117. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Minium, Mark M. can be contacted via phone (717) 774-1200.Contact Information
Primary practice address
1412 Bridge St
New Cumberland PA 17070-1117
Phone: (717) 774-1200
Fax: (717) 774-2568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS020106L | Pennsylvania |
Profile Details
NPI number | 1699806125 |
---|---|
LBN Legal business name | Minium, Mark M. |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1699806125 | NPPES |
Pennsylvania | Other | MI279056 | UNITED CONCORDIA PROV. # |
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