Brassfield, Mark M
Brassfield, Mark M is an individual health care provider with primary practice located at 2707 Henry St , Greensboro NC 27405-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brassfield, Mark M can be contacted via phone (336) 574-4280.Contact Information
Primary practice address
2707 Henry St
Greensboro NC 27405-3669
Phone: (336) 574-4280
Fax: (336) 574-4634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29226 | North Carolina |
Profile Details
| NPI number | 1366421471 |
|---|---|
| LBN Legal business name | Brassfield, Mark M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jun 24th, 2008 - 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 | 1366421471 | NPPES |
| North Carolina | MEDICAID | 8918064 |
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