Striebel, Mark Henry

Striebel, Mark Henry is an individual health care provider with primary practice located at 3371 Kemp Rd , Beavercreek OH 45431-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Striebel, Mark Henry can be contacted via phone (937) 458-4200.

Contact Information

Primary practice address
3371 Kemp Rd Beavercreek OH 45431-2514
Phone: (937) 458-4200
Fax: (937) 458-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003471A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-4194-S Ohio

Profile Details

NPI number 1700878329
LBN Legal business name Striebel, Mark Henry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 18th, 2020 - about 4 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 1700878329 NPPES
Indiana MEDICAID 200939240
Indiana Other 000000731793
Indiana MEDICAID 0659023

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