Baughman, Mark Henry

Baughman, Mark Henry is an individual health care provider with primary practice located at 2370 3Rd St S Suite 2, Jacksonville Beach FL 32250-4023. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Baughman, Mark Henry can be contacted via phone (904) 853-5106.

Contact Information

Primary practice address
2370 3Rd St S Suite 2 Jacksonville Beach FL 32250-4023
Phone: (904) 853-5106
Fax: (904) 853-5107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT21322 Florida

Profile Details

NPI number 1336296334
LBN Legal business name Baughman, Mark Henry
Credentials PT ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 5th, 2016 - about 10 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 1336296334 NPPES
Florida MEDICAID 015235500

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