Theiss, Mark M

Theiss, Mark M is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Theiss, Mark M can be contacted via phone (703) 776-4001.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3300
Phone: (703) 776-4001
Fax: (703) 776-7113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036798 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101036798 Virginia

Profile Details

NPI number 1669534350
LBN Legal business name Theiss, Mark M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2006
Last updated Jan 29th, 2022 - about 3 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 1669534350 NPPES
Virginia MEDICAID 006499317

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