Dodd, Mark Alan
Dodd, Mark Alan is an individual health care provider with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dodd, Mark Alan can be contacted via phone (336) 719-6100.Contact Information
Primary practice address
865 W Lake Dr
Mount Airy NC 27030-2157
Phone: (336) 719-6100
Fax: (336) 719-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200000400 | North Carolina |
Profile Details
| NPI number | 1184694630 |
|---|---|
| LBN Legal business name | Dodd, Mark Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 25th, 2020 - about 5 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 | 1184694630 | NPPES |
| North Carolina | MEDICAID | 89126U0 | |
| North Carolina | MEDICAID | 1184694630 |
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