Healey, Mark A

Healey, Mark A is an individual health care provider with primary practice located at 25 Cottage St , Potsdam NY 13676-2196. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Healey, Mark A can be contacted via phone (315) 265-1055.

Contact Information

Primary practice address
25 Cottage St Potsdam NY 13676-2196
Phone: (315) 265-1055
Fax: (315) 261-5043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 042-0009894 Vermont
Allopathic & Osteopathic Physicians / Surgery 208600000X 285052 New York

Profile Details

NPI number 1477584738
LBN Legal business name Healey, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 3rd, 2017 - about 9 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 1477584738 NPPES
Vermont Other P00255993 RR MEDICARE
Vermont MEDICAID 0VN2070 RR MEDICARE

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