Stover, Mark

Stover, Mark is an individual health care provider with primary practice located at 399 E Main St , Columbus OH 43215-5384. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Stover, Mark can be contacted via phone (614) 355-8550.

Contact Information

Primary practice address
399 E Main St Columbus OH 43215-5384
Phone: (614) 355-8550
Fax: (614) 355-8593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C1100385 Ohio

Profile Details

NPI number 1770822793
LBN Legal business name Stover, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2013
Last updated Feb 12th, 2013 - about 13 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 1770822793 NPPES
Ohio MEDICAID 2846675

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