Dewalt, Mark Andrew
Dewalt, Mark Andrew is an individual health care provider with primary practice located at 4343 All Seasons Dr Ste 220, Hilliard OH 43026-1961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewalt, Mark Andrew can be contacted via phone (614) 544-1100.Contact Information
Primary practice address
4343 All Seasons Dr Ste 220
Hilliard OH 43026-1961
Phone: (614) 544-1100
Fax: (614) 544-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-008401 | Ohio |
Profile Details
| NPI number | 1497724918 |
|---|---|
| LBN Legal business name | Dewalt, Mark Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497724918 | NPPES |
| Ohio | MEDICAID | 2637034 |
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