Hendrixson, Mark Neal
Hendrixson, Mark Neal is an sole proprietor health care provider with primary practice located at 707 S Main St , Crossville TN 38555-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Hendrixson, Mark Neal can be contacted via phone (931) 456-8435.Contact Information
Primary practice address
707 S Main St
Crossville TN 38555-5011
Phone: (931) 456-8435
Fax: (931) 456-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD021724 | Tennessee |
Profile Details
| NPI number | 1457469223 |
|---|---|
| LBN Legal business name | Hendrixson, Mark Neal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 24th, 2023 - about last year |
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 | 1457469223 | NPPES |
| Tennessee | Other | 4096802 | BCBS |
| Tennessee | MEDICAID | 3091500 | BCBS |
| Tennessee | Other | 9958819 | BCBS |
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