Baxter, Mark C

Baxter, Mark C is an sole proprietor health care provider with primary practice located at 421 W Stone Dr Suite 6, Kingsport TN 37660-3269. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Baxter, Mark C can be contacted via phone (423) 245-4100.

Contact Information

Primary practice address
421 W Stone Dr Suite 6 Kingsport TN 37660-3269
Phone: (423) 245-4100
Fax: (423) 245-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM0000000357 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DPM0000000357 Tennessee

Profile Details

NPI number 1386634301
LBN Legal business name Baxter, Mark C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jul 12th, 2013 - about 11 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 1386634301 NPPES
Tennessee Other 100010536 PHP
Tennessee Other 216412 PHP
Tennessee Other 62-1402649 PHP
Tennessee Other 480007576 PHP
Tennessee Other 7510238 PHP
Tennessee MEDICAID 3351572 PHP
Tennessee Other 621402649 PHP
Tennessee Other 0093-2019-9 PHP
Tennessee Other 89548 PHP

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