Anderson, Mark

Anderson, Mark is an individual health care provider with primary practice located at 2500 N State St Ummc - Neurology, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Anderson, Mark can be contacted via phone (601) 984-5517.

Contact Information

Primary practice address
2500 N State St Ummc - Neurology Jackson MS 39216-4500
Phone: (601) 984-5517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 22703 Mississippi

Profile Details

NPI number 1922202415
LBN Legal business name Anderson, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Mar 17th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922202415 NPPES
Mississippi MEDICAID P01266928
Mississippi MEDICAID 07276855

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