Schmidt, Mark A

Schmidt, Mark A is an individual health care provider with primary practice located at 5372 Fallowater Ln , Roanoke VA 24018-0907. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Schmidt, Mark A can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
5372 Fallowater Ln Roanoke VA 24018-0907
Phone: (540) 224-5170
Fax: (540) 983-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101050543 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X 0101050543 Virginia

Profile Details

NPI number 1023000684
LBN Legal business name Schmidt, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 24th, 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 1023000684 NPPES
Virginia MEDICAID 007500009

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