Huffman, Mark Stephen

Huffman, Mark Stephen is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Huffman, Mark Stephen can be contacted via phone (662) 377-3077.

Contact Information

Primary practice address
830 S Gloster St Tupelo MS 38801-4934
Phone: (662) 377-3077
Fax: (662) 377-4883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11661 Mississippi

Profile Details

NPI number 1841232782
LBN Legal business name Huffman, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 10th, 2013 - about 11 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 1841232782 NPPES
Mississippi MEDICAID 00125512

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