Slaughter, Mark Sullivan
Slaughter, Mark Sullivan is an individual health care provider with primary practice located at 201 Abraham Flexner Way Suite 1200, Louisville KY 40202-3841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Slaughter, Mark Sullivan can be contacted via phone (502) 561-2180.Contact Information
Primary practice address
201 Abraham Flexner Way Suite 1200
Louisville KY 40202-3841
Phone: (502) 561-2180
Fax: (502) 561-2190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 42157 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036075781 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01043482A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01043482A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036075781 | Illinois |
Profile Details
| NPI number | 1326034760 |
|---|---|
| LBN Legal business name | Slaughter, Mark Sullivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 9th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326034760 | NPPES |
| Indiana | MEDICAID | 200061040D | |
| Indiana | MEDICAID | 036075781 | |
| Indiana | MEDICAID | 200061040C | |
| Indiana | MEDICAID | 200061040A | |
| Indiana | MEDICAID | 200061040E | |
| Indiana | Other | 01618941 | |
| Indiana | MEDICAID | 200061040B |
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