Libertin, Mark

Libertin, Mark is an individual health care provider with primary practice located at 6229 N Applecross Rd , Highland Heights OH 44143-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Libertin, Mark can be contacted via phone (440) 646-1651.

Contact Information

Primary practice address
6229 N Applecross Rd Highland Heights OH 44143-3726
Phone: (440) 646-1651
Fax: (440) 646-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35055788L Ohio

Profile Details

NPI number 1184608770
LBN Legal business name Libertin, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 8th, 2012 - about 14 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 1184608770 NPPES
Ohio Other 1879024002 CIGNA
Ohio Other 341865880001 CIGNA
Ohio Other 50875 CIGNA
Ohio Other 000000140712 CIGNA
Ohio MEDICAID 2060479 CIGNA
Ohio Other 341865880028 CIGNA

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