Anderson, Mark Jerome
Anderson, Mark Jerome is an individual health care provider with primary practice located at 1202 N Center St , Hickory NC 28601-3760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, Mark Jerome can be contacted via phone (828) 322-4344.Contact Information
Primary practice address
1202 N Center St
Hickory NC 28601-3760
Phone: (828) 322-4344
Fax: (828) 323-8450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35092 | North Carolina |
Profile Details
| NPI number | 1043236177 |
|---|---|
| LBN Legal business name | Anderson, Mark Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043236177 | NPPES |
| North Carolina | MEDICAID | 8911247 |
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