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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194708750 NPPES
Texas MEDICAID 041855001

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