Mark Martin, CDCA.166404

NPI 1164916805 · on the registry since 2018 · sole proprietor

Practice

Address: 11811 Shaker Blvd Ste 123
Cleveland, OH 44120
Phone: (216) 965-6325
Organisation at this address: Aegis Meds Llc
Ohio Excel Care
Proud To Be, Inc
Proud To Be, Inc
Proud To Be, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio