Minor, Mark Edward
Minor, Mark Edward is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Minor, Mark Edward can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 35.126257 | Ohio |
Profile Details
| NPI number | 1689930737 |
|---|---|
| LBN Legal business name | Minor, Mark Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2012 |
| Last updated | Oct 15th, 2023 - 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 | 1689930737 | NPPES |
| Ohio | MEDICAID | 0241775 |
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