Buono, Mark A

Buono, Mark A is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Buono, Mark A can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME82105 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01066054A Indiana

Profile Details

NPI number 1467430140
LBN Legal business name Buono, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Feb 1st, 2021 - about 5 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 1467430140 NPPES
Indiana MEDICAID 200927220
Indiana Other 5124638
Indiana Other 000000597628
Indiana MEDICAID 266892100
Indiana Other 59168214
Indiana Other 58790

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