Born, Mark Leonard

Born, Mark Leonard is an individual health care provider with primary practice located at 1310 24Th Ave S Tennessee Valley Health System, Nashville TN 37212-2637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Born, Mark Leonard can be contacted via phone (615) 873-7550.

Contact Information

Primary practice address
1310 24Th Ave S Tennessee Valley Health System Nashville TN 37212-2637
Phone: (615) 873-7550
Fax: (615) 873-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD011034 Tennessee
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X MD011034 Tennessee

Profile Details

NPI number 1093760787
LBN Legal business name Born, Mark Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 19th, 2011 - 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 1093760787 NPPES
Tennessee Other 3023997 MEDICARE MEDICAID/TENNCARE
Tennessee MEDICAID 3023997 MEDICARE MEDICAID/TENNCARE

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