Dennis, Mark Stephen

Dennis, Mark Stephen is an individual health care provider with primary practice located at 235 Saint Ann Dr Suite 2, Mandeville LA 70471-3396. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Dennis, Mark Stephen can be contacted via phone (985) 727-7275.

Contact Information

Primary practice address
235 Saint Ann Dr Suite 2 Mandeville LA 70471-3396
Phone: (985) 727-7275
Fax: (985) 727-7915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 019030 Louisiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 019030 Louisiana

Profile Details

NPI number 1801866215
LBN Legal business name Dennis, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 25th, 2008 - about 16 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 1801866215 NPPES
Louisiana Other P00249171 RR MEDICARE

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