Minium, Mark M.

Minium, Mark M. is an individual health care provider with primary practice located at 1412 Bridge St , New Cumberland PA 17070-1117. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Minium, Mark M. can be contacted via phone (717) 774-1200.

Contact Information

Primary practice address
1412 Bridge St New Cumberland PA 17070-1117
Phone: (717) 774-1200
Fax: (717) 774-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS020106L Pennsylvania

Profile Details

NPI number 1699806125
LBN Legal business name Minium, Mark M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1699806125 NPPES
Pennsylvania Other MI279056 UNITED CONCORDIA PROV. #

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