Harrell, Mark J

Harrell, Mark J is an sole proprietor health care provider with primary practice located at 378 Marketplace Dr Suite 5, Johnson City TN 37604-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harrell, Mark J can be contacted via phone (423) 282-0751.

Contact Information

Primary practice address
378 Marketplace Dr Suite 5 Johnson City TN 37604-2361
Phone: (423) 282-0751
Fax: (423) 282-1577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28241 Tennessee

Profile Details

NPI number 1043251606
LBN Legal business name Harrell, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Nov 4th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043251606 NPPES
Tennessee MEDICAID 3804105

Popular Providers