Carter, Mark Allen

Carter, Mark Allen is an sole proprietor health care provider with primary practice located at 3907 Jenica Way , Louisville KY 40241-1530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carter, Mark Allen can be contacted via phone (502) 412-2200.

Contact Information

Primary practice address
3907 Jenica Way Louisville KY 40241-1530
Phone: (502) 412-2200
Fax: (502) 429-3657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26799 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26799 Kentucky

Profile Details

NPI number 1083627632
LBN Legal business name Carter, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Nov 21st, 2017 - about 8 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 1083627632 NPPES
Kentucky Other 000001099444 ANTHEM
Kentucky Other 152001 ANTHEM
Kentucky MEDICAID 7100054880 ANTHEM
Kentucky Other P01349710 ANTHEM
Kentucky Other 000000844478 ANTHEM
Kentucky Other K087021 ANTHEM

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