Anderson, Mark Norman
Anderson, Mark Norman is an individual health care provider with primary practice located at 107 Governors Drive , Huntsville AL 35801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Mark Norman can be contacted via phone (256) 535-2300.Contact Information
Primary practice address
107 Governors Drive
Huntsville AL 35801
Phone: (256) 535-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 099 | Alabama |
Profile Details
| NPI number | 1952386252 |
|---|---|
| LBN Legal business name | Anderson, Mark Norman |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952386252 | NPPES |
| Alabama | Other | 02004 | B CROSS |
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