Casdorph, Mark N

Casdorph, Mark N is an individual health care provider with primary practice located at 3130 N County Road 25A , Troy OH 45373-1337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Casdorph, Mark N can be contacted via phone (937) 440-7305.

Contact Information

Primary practice address
3130 N County Road 25A Troy OH 45373-1337
Phone: (937) 440-7305
Fax: (937) 440-7702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1322 West Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 34.007158 Ohio

Profile Details

NPI number 1104870955
LBN Legal business name Casdorph, Mark N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2022 - about 3 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 1104870955 NPPES
West Virginia Other 0004340531 AETNA
West Virginia Other 000769253 AETNA
West Virginia MEDICAID 0005355002 AETNA
West Virginia MEDICAID 0115895000 AETNA
West Virginia Other 1045755 AETNA
West Virginia Other 2132198 AETNA
West Virginia Other P00281739 AETNA

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