Hoerman, Mark
Hoerman, Mark is an individual health care provider with primary practice located at 1811 Edwina Dr , Vidalia GA 30474-8963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Hoerman, Mark can be contacted via phone (912) 538-8105.Contact Information
Primary practice address
1811 Edwina Dr
Vidalia GA 30474-8963
Phone: (912) 538-8105
Fax: (912) 538-8109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 070272 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 070272 | Georgia |
Profile Details
| NPI number | 1366440984 |
|---|---|
| LBN Legal business name | Hoerman, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Oct 17th, 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 | 1366440984 | NPPES |
| Other | 2849327 | AETNA | |
| Other | P55286567 | AETNA | |
| Other | 71847 | AETNA | |
| MEDICAID | 003138585A | AETNA | |
| Other | P2017338 | AETNA | |
| Other | 2K1057 | AETNA |
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