Harris, Mark D
Harris, Mark D is an individual health care provider with primary practice located at 1710 S. 17Th St. , Wilmington NC 28401-6442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Harris, Mark D can be contacted via phone (910) 762-1182.Contact Information
Primary practice address
1710 S. 17Th St.
Wilmington NC 28401-6442
Phone: (910) 762-1182
Fax: (910) 202-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 200100549 | North Carolina |
Profile Details
| NPI number | 1437157872 |
|---|---|
| LBN Legal business name | Harris, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jul 9th, 2015 - about 9 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 | 1437157872 | NPPES |
| North Carolina | MEDICAID | 89129JM | |
| North Carolina | MEDICAID | 89138CO |
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