Roberto, Mark S

Roberto, Mark S is an individual health care provider with primary practice located at 3250 Middle Urbana Rd , Springfield OH 45502-9285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberto, Mark S can be contacted via phone (937) 399-7777.

Contact Information

Primary practice address
3250 Middle Urbana Rd Springfield OH 45502-9285
Phone: (937) 399-7777
Fax: (937) 399-6794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-04-6604-R Ohio

Profile Details

NPI number 1750384681
LBN Legal business name Roberto, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 17th, 2020 - about 4 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 1750384681 NPPES
Ohio Other 080010552 RR MEDICARE
Ohio Other OH0032545 RR MEDICARE
Ohio Other 000000014201 RR MEDICARE
Ohio MEDICAID 0466419 RR MEDICARE
Ohio Other 0101219 RR MEDICARE
Ohio Other 311202780008 RR MEDICARE
Ohio Other 4013944 RR MEDICARE

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