Attlesey, Mark G

Attlesey, Mark G is an individual health care provider with primary practice located at 3625 University Blvd S , Jacksonville FL 32216-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Attlesey, Mark G can be contacted via phone (904) 399-6811.

Contact Information

Primary practice address
3625 University Blvd S Jacksonville FL 32216-4207
Fax: (904) 346-0113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0071653 Florida

Profile Details

NPI number 1841396660
LBN Legal business name Attlesey, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841396660 NPPES
Florida Other 44329 BCBS

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