Farnsworth, Mark Bryan
Farnsworth, Mark Bryan is an individual health care provider with primary practice located at Rr 4 Box 315 , Philippi WV 26416-9591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Farnsworth, Mark Bryan can be contacted via phone (304) 457-5744.Contact Information
Primary practice address
Rr 4 Box 315
Philippi WV 26416-9591
Phone: (304) 457-5744
Fax: (304) 457-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15126 | West Virginia |
Profile Details
| NPI number | 1962509281 |
|---|---|
| LBN Legal business name | Farnsworth, Mark Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 21st, 2022 - about 4 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 | 1962509281 | NPPES |
| West Virginia | MEDICAID | 0041151000 |
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