Allen, Mark Edward
Allen, Mark Edward is an individual health care provider with primary practice located at 800 Independence Blvd , Virginia Beach VA 23455-6005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Allen, Mark Edward can be contacted via phone (757) 363-6230.Contact Information
Primary practice address
800 Independence Blvd
Virginia Beach VA 23455-6005
Phone: (757) 363-6230
Fax: (757) 363-6204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024166765 | Virginia |
Profile Details
NPI number | 1558341420 |
---|---|
LBN Legal business name | Allen, Mark Edward |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Dec 23rd, 2014 - about 10 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 | 1558341420 | NPPES |
Virginia | Other | 11919377 | CAQH |
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