Douglas, Mark Jason

Douglas, Mark Jason is an individual health care provider with primary practice located at 2880 Dauphin St , Mobile AL 36606-2457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Douglas, Mark Jason can be contacted via phone (251) 473-1900.

Contact Information

Primary practice address
2880 Dauphin St Mobile AL 36606-2457
Phone: (251) 473-1900
Fax: (251) 470-8943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 00020396 Alabama

Profile Details

NPI number 1679576516
LBN Legal business name Douglas, Mark Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 19th, 2007 - about 17 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 1679576516 NPPES
Alabama Other 51506459 BLUE CROSS AL PROV #
Alabama Other 7070250 BLUE CROSS AL PROV #
Alabama MEDICAID 00124755 BLUE CROSS AL PROV #
Alabama Other 51506758 BLUE CROSS AL PROV #
Alabama Other H07553 BLUE CROSS AL PROV #
Alabama Other 51502488 BLUE CROSS AL PROV #
Alabama Other 51531041 BLUE CROSS AL PROV #
Alabama Other 51536524 BLUE CROSS AL PROV #
Alabama Other 0810439 BLUE CROSS AL PROV #
Alabama Other 51505297 BLUE CROSS AL PROV #
Alabama Other 51506756 BLUE CROSS AL PROV #

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