Brown, Mark Allen
Brown, Mark Allen is an individual health care provider with primary practice located at 3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Mark Allen can be contacted via phone (417) 885-3888.Contact Information
Primary practice address
3801 S National Ave West Tower, Suite 700
Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 881-7638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2005004531 | Missouri |
Profile Details
| NPI number | 1982651352 |
|---|---|
| LBN Legal business name | Brown, Mark Allen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Sep 30th, 2021 - about 4 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 | 1982651352 | NPPES |
| Missouri | Other | 18942 | COX HEALTH PLANS |
| Missouri | MEDICAID | 502277007 | COX HEALTH PLANS |
| Missouri | Other | 0215422 | COX HEALTH PLANS |
| Missouri | Other | Q42967 | COX HEALTH PLANS |
| Missouri | Other | 0604585 | COX HEALTH PLANS |
| Missouri | Other | 195811 | COX HEALTH PLANS |
| Missouri | Other | 23083 | COX HEALTH PLANS |
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