Zalla, Mark J

Zalla, Mark J is an individual health care provider with primary practice located at 7766 Ewing Blvd Ste 100, Florence KY 41042-7538. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Zalla, Mark J can be contacted via phone (859) 283-1033.

Contact Information

Primary practice address
7766 Ewing Blvd Ste 100 Florence KY 41042-7538
Phone: (859) 283-1033
Fax: (859) 283-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35119 Kentucky
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35119 Kentucky
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X K35119 Kentucky

Profile Details

NPI number 1356460018
LBN Legal business name Zalla, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 4th, 2009 - about 16 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 1356460018 NPPES
Kentucky Other 000000223589 ANTHEM ID
Kentucky Other 2815155 ANTHEM ID
Kentucky Other 03-20159 ANTHEM ID

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