Charlson, Mark David
Charlson, Mark David is an individual health care provider with primary practice located at 192 Tilley Dr , South Burlington VT 05403-4440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Charlson, Mark David can be contacted via phone (802) 847-2663.Contact Information
Primary practice address
192 Tilley Dr
South Burlington VT 05403-4440
Phone: (802) 847-2663
Fax: (802) 847-3797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 42-0011585 | Vermont |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 200400468 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 42-0011585 | Vermont |
Profile Details
| NPI number | 1154374734 |
|---|---|
| LBN Legal business name | Charlson, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 25th, 2012 - about 12 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 | 1154374734 | NPPES |
| Vermont | MEDICAID | 1015272 |
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