Monsour, Mark A

Monsour, Mark A is an individual health care provider with primary practice located at 2350 Miami Valley Dr Ste 500 , Centerville OH 45459-4780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Monsour, Mark A can be contacted via phone (937) 293-1622.

Contact Information

Primary practice address
2350 Miami Valley Dr Ste 500 Centerville OH 45459-4780
Phone: (937) 293-1622
Fax: (937) 245-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35076223 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X 35.076223 Ohio

Profile Details

NPI number 1326156746
LBN Legal business name Monsour, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jan 7th, 2022 - about 3 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 1326156746 NPPES
Ohio MEDICAID 2115311

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