Speelman, Mark C

Speelman, Mark C is an individual health care provider with primary practice located at 970 E Washington St Suite 4 B, Medina OH 44256-3332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Speelman, Mark C can be contacted via phone (330) 723-3256.

Contact Information

Primary practice address
970 E Washington St Suite 4 B Medina OH 44256-3332
Phone: (330) 723-3256
Fax: (330) 722-6731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35036382 Ohio

Profile Details

NPI number 1437129582
LBN Legal business name Speelman, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 5th, 2010 - about 15 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 1437129582 NPPES
Ohio MEDICAID 0480840
Ohio Other 720
Ohio Other 000000129521
Ohio Other 791083847
Ohio Other 53453

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