Burbridge, Mark Thomas
Burbridge, Mark Thomas is an individual health care provider with primary practice located at 3510 N Highway 17 Ste 225 , Mt Pleasant SC 29466-8233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burbridge, Mark Thomas can be contacted via phone (843) 881-5844.Contact Information
Primary practice address
3510 N Highway 17 Ste 225
Mt Pleasant SC 29466-8233
Phone: (843) 881-5844
Fax: (843) 881-9499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 36500 | South Carolina |
Profile Details
NPI number | 1477749208 |
---|---|
LBN Legal business name | Burbridge, Mark Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2007 |
Last updated | Oct 17th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477749208 | NPPES |
South Carolina | MEDICAID | 365009 |
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