Belknap, Mark
Belknap, Mark is an individual health care provider with primary practice located at 400 Veterans Ave Dr. Belknap 112, Biloxi MS 39531-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Belknap, Mark can be contacted via phone (903) 926-2071.Contact Information
Primary practice address
400 Veterans Ave Dr. Belknap 112
Biloxi MS 39531-2410
Phone: (903) 926-2071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | J3985 | Texas |
Profile Details
| NPI number | 1194708750 |
|---|---|
| LBN Legal business name | Belknap, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 14th, 2012 - about 13 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 | 1194708750 | NPPES |
| Texas | MEDICAID | 041855001 |
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