Mugavin, Mark Oechslin

Mugavin, Mark Oechslin is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mugavin, Mark Oechslin can be contacted via phone (502) 897-8100.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 897-8100
Fax: (502) 896-0813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 51536 Kentucky

Profile Details

NPI number 1841618170
LBN Legal business name Mugavin, Mark Oechslin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2014
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841618170 NPPES
Kentucky MEDICAID PENDING

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