Moronell, Mark W

Moronell, Mark W is an individual health care provider with primary practice located at 1380 E Stroop Rd , Kettering OH 45429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moronell, Mark W can be contacted via phone (937) 293-3486.

Contact Information

Primary practice address
1380 E Stroop Rd Kettering OH 45429
Phone: (937) 293-3486
Fax: (937) 293-3605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.122658 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4457 Alaska

Profile Details

NPI number 1306864608
LBN Legal business name Moronell, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 12th, 2021 - about 5 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 1306864608 NPPES
Alaska MEDICAID MD1321
Alaska Other 060058886
Alaska MEDICAID 0097860

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