Carpenter, Mark Merritt

Carpenter, Mark Merritt is an sole proprietor health care provider with primary practice located at 101 Bob Wallace Ave Sw , Huntsville AL 35801-3843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carpenter, Mark Merritt can be contacted via phone (256) 533-0335.

Contact Information

Primary practice address
101 Bob Wallace Ave Sw Huntsville AL 35801-3843
Phone: (256) 533-0335
Fax: (256) 539-9880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9843 Alabama

Profile Details

NPI number 1982685236
LBN Legal business name Carpenter, Mark Merritt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Jul 8th, 2007 - about 18 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 1982685236 NPPES
Alabama Other 51051905 BLUE CROSS BLUE SHIELD
Alabama Other 0004003511 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000051905 BLUE CROSS BLUE SHIELD

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