Myers, Mark A

Myers, Mark A is an sole proprietor health care provider with primary practice located at 1741 Midland Trl , Shelbyville KY 40065-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Myers, Mark A can be contacted via phone (502) 633-0192.

Contact Information

Primary practice address
1741 Midland Trl Shelbyville KY 40065-1711
Phone: (502) 633-0192
Fax: (502) 633-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 32619 Kentucky

Profile Details

NPI number 1467456855
LBN Legal business name Myers, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Apr 19th, 2019 - about 5 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 1467456855 NPPES
Kentucky Other 122601 CHA
Kentucky Other 5134693001 CHA
Kentucky Other 5344332 CHA
Kentucky MEDICAID 64326192 CHA
Kentucky Other PASSPORT ADVANTAGE CHA
Kentucky Other 000000041773 CHA
Kentucky Other 000802487 CHA
Kentucky Other 1063266 CHA

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