Provider Demographics
NPI:1295560985
Name:ABABIO, MARK A
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:A
Last Name:ABABIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-0776
Mailing Address - Country:US
Mailing Address - Phone:571-474-7100
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 776
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65205-0776
Practice Address - Country:US
Practice Address - Phone:571-474-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)