Stanley, Mark Willard
Stanley, Mark Willard is an individual health care provider with primary practice located at 793 W State St , Columbus OH 43222-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stanley, Mark Willard can be contacted via phone (614) 552-0061.Contact Information
Primary practice address
793 W State St
Columbus OH 43222-1551
Phone: (614) 552-0061
Fax: (614) 552-0168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34-00-7528S | Ohio |
Profile Details
| NPI number | 1528038494 |
|---|---|
| LBN Legal business name | Stanley, Mark Willard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528038494 | NPPES |
| Ohio | MEDICAID | 2374194 |
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