Henzes, Mark Joseph

Henzes, Mark Joseph is an individual health care provider with primary practice located at 100 S Jackson Ave Agh Suburban Campus, Pittsburgh PA 15202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Henzes, Mark Joseph can be contacted via phone (412) 734-6100.

Contact Information

Primary practice address
100 S Jackson Ave Agh Suburban Campus Pittsburgh PA 15202
Phone: (412) 734-6100
Fax: (412) 734-6932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD039291 Pennsylvania

Profile Details

NPI number 1457351488
LBN Legal business name Henzes, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Apr 23rd, 2008 - about 18 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 1457351488 NPPES
Ohio MEDICAID 0134018
Ohio MEDICAID 0010739500014
Ohio MEDICAID 0054951000

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