Cimino, Mark Allen

Cimino, Mark Allen is an sole proprietor health care provider with primary practice located at 1111 Homer Rd , Minden LA 71055-3027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cimino, Mark Allen can be contacted via phone (318) 377-7500.

Contact Information

Primary practice address
1111 Homer Rd Minden LA 71055-3027
Phone: (318) 377-7500
Fax: (318) 377-2324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15018R Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E3519 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3519 Arkansas

Profile Details

NPI number 1740282490
LBN Legal business name Cimino, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Mar 7th, 2023 - 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 1740282490 NPPES
Louisiana MEDICAID 1422878
Louisiana Other LA15018R
Louisiana Other 030637
Louisiana MEDICAID 1422878

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