Addison, Mark K
Addison, Mark K is an individual health care provider with primary practice located at 1800 Al Highway 157 Ste 101 , Cullman AL 35058-1273. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Addison, Mark K can be contacted via phone (256) 739-4131.Contact Information
Primary practice address
1800 Al Highway 157 Ste 101
Cullman AL 35058-1273
Phone: (256) 739-4131
Fax: (256) 739-6027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 13608 | Alabama |
Profile Details
| NPI number | 1164404042 |
|---|---|
| LBN Legal business name | Addison, Mark K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Dec 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164404042 | NPPES |
| Alabama | MEDICAID | 000087230 |
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