Elam, Mark P
Elam, Mark P is an sole proprietor health care provider with primary practice located at 9702 Chestnut Hill Ln , Chattanooga TN 37421-4815. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Elam, Mark P can be contacted via phone (706) 226-5446.Contact Information
Primary practice address
9702 Chestnut Hill Ln
Chattanooga TN 37421-4815
Phone: (706) 226-5446
Fax: (866) 230-8698
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036147 | Georgia |
Profile Details
NPI number | 1669559035 |
---|---|
LBN Legal business name | Elam, Mark P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2006 |
Last updated | Mar 20th, 2023 - about 2 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 | 1669559035 | NPPES |
Georgia | MEDICAID | 00546532A |
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