Dayton, Mark A
Dayton, Mark A is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Dayton, Mark A can be contacted via phone (812) 331-3405.Contact Information
Primary practice address
601 W 2Nd St
Bloomington IN 47403-2317
Phone: (812) 331-3405
Fax: (812) 355-6538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 01033747A | Indiana |
Profile Details
| NPI number | 1790780625 |
|---|---|
| LBN Legal business name | Dayton, Mark A |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 7th, 2019 - about 7 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 | 1790780625 | NPPES |
| Indiana | MEDICAID | 200482850 |
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