Dean, Mark T

Dean, Mark T is an individual health care provider with primary practice located at 1076 Ribaut Rd Suite 101, Beaufort SC 29902-5476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dean, Mark T can be contacted via phone (843) 525-0045.

Contact Information

Primary practice address
1076 Ribaut Rd Suite 101 Beaufort SC 29902-5476
Fax: (843) 525-0826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 18108 South Carolina

Profile Details

NPI number 1902812316
LBN Legal business name Dean, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 4th, 2010 - about 15 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 1902812316 NPPES
South Carolina MEDICAID 181083

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