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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336296334 | NPPES |
| Florida | MEDICAID | 015235500 |
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