Willard, Mark Allen

Willard, Mark Allen is an individual health care provider with primary practice located at 7277 Smiths Mill Rd Suite#250, New Albany OH 43054-8195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Willard, Mark Allen can be contacted via phone (614) 221-3725.

Contact Information

Primary practice address
7277 Smiths Mill Rd Suite#250 New Albany OH 43054-8195
Phone: (614) 221-3725
Fax: (614) 221-5613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35080144 Ohio

Profile Details

NPI number 1013053503
LBN Legal business name Willard, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 21st, 2023 - about last year

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 1013053503 NPPES
Ohio MEDICAID 2285129

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