Provider Demographics
NPI:1609038827
Name:MARK B. HANDLER, INC.
Entity Type:Organization
Organization Name:MARK B. HANDLER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:B
Authorized Official - Last Name:HANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-984-4649
Mailing Address - Street 1:10545 MONTGOMERY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4447
Mailing Address - Country:US
Mailing Address - Phone:513-984-4649
Mailing Address - Fax:513-984-1616
Practice Address - Street 1:10545 MONTGOMERY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4447
Practice Address - Country:US
Practice Address - Phone:513-984-4649
Practice Address - Fax:513-984-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH037231174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0505591Medicaid
OHA75177Medicare UPIN
OH0505591Medicaid