Wallenbrock, Mark Allen
Wallenbrock, Mark Allen is an individual health care provider with primary practice located at 3555 Olentangy River Rd Suite 3050, Columbus OH 43214-3912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Wallenbrock, Mark Allen can be contacted via phone (614) 566-4731.Contact Information
Primary practice address
3555 Olentangy River Rd Suite 3050
Columbus OH 43214-3912
Phone: (614) 566-4731
Fax: (614) 566-6745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 35-063433 | Ohio |
Profile Details
| NPI number | 1881657005 |
|---|---|
| LBN Legal business name | Wallenbrock, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 13th, 2007 - about 18 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 | 1881657005 | NPPES |
| Ohio | MEDICAID | 0888473 |
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