Boney, Mark A
Boney, Mark A is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Boney, Mark A can be contacted via phone (919) 609-6350.Contact Information
Primary practice address
1638 Owen Dr
Fayetteville NC 28304-3424
Phone: (919) 609-6350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | North Carolina |
Profile Details
| NPI number | 1679572937 |
|---|---|
| LBN Legal business name | Boney, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679572937 | NPPES |
| North Carolina | Other | D1490 | MEDCOST PROVIDER # |
| North Carolina | MEDICAID | 891250N | MEDCOST PROVIDER # |
| North Carolina | Other | 1250N | MEDCOST PROVIDER # |
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