Straka, Mark A
Straka, Mark A is an individual health care provider with primary practice located at 3545 Olentangy River Rd Suite 125, Columbus OH 43214-3996. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Straka, Mark A can be contacted via phone (614) 267-0385.Contact Information
Primary practice address
3545 Olentangy River Rd Suite 125
Columbus OH 43214-3996
Phone: (614) 267-0385
Fax: (614) 267-1407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30015835 | Ohio |
Profile Details
| NPI number | 1083680102 |
|---|---|
| LBN Legal business name | Straka, Mark A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 20th, 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 | 1083680102 | NPPES |
| Ohio | MEDICAID | 0391179 |
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