Anderson, Mark R.

Anderson, Mark R. is an individual health care provider with primary practice located at 324 E Saint John St , Spartanburg SC 29302-1505. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Anderson, Mark R. can be contacted via phone (864) 707-1953.

Contact Information

Primary practice address
324 E Saint John St Spartanburg SC 29302-1505
Phone: (864) 707-1953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5246 South Carolina

Profile Details

NPI number 1013187632
LBN Legal business name Anderson, Mark R.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Sep 9th, 2016 - about 9 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 1013187632 NPPES
South Carolina MEDICAID 421504

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