Brown, Mark S

Brown, Mark S is an individual health care provider with primary practice located at 4600 Lake Boone Trail Suite 100, Raleigh NC 27607-7529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brown, Mark S can be contacted via phone (919) 787-1374.

Contact Information

Primary practice address
4600 Lake Boone Trail Suite 100 Raleigh NC 27607-7529
Phone: (919) 787-1374
Fax: (919) 571-8135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35284 Maryland

Profile Details

NPI number 1487603700
LBN Legal business name Brown, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 12th, 2021 - about 3 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 1487603700 NPPES
North Carolina Other 19195 BLUE CROSS
North Carolina Other 040010824 BLUE CROSS
North Carolina Other 1050085 BLUE CROSS
North Carolina MEDICAID 8919195 BLUE CROSS

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