Anderson, Mark Spencer
Anderson, Mark Spencer is an sole proprietor health care provider with primary practice located at 101 Hospital Loop Ne Ste 201 , Albuquerque NM 87109-2128. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Anderson, Mark Spencer can be contacted via phone (505) 727-4430.Contact Information
Primary practice address
101 Hospital Loop Ne Ste 201
Albuquerque NM 87109-2128
Phone: (505) 727-4430
Fax: (505) 727-9401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD2019-0224 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RS2018-0355 | New Mexico |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | MD2019-0224 | New Mexico |
Profile Details
| NPI number | 1821357179 |
|---|---|
| LBN Legal business name | Anderson, Mark Spencer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2012 |
| Last updated | Jan 23rd, 2020 - about 5 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 | 1821357179 | NPPES |
| New Mexico | MEDICAID | 48476854 |
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