Iannettoni, Mark David
Iannettoni, Mark David is an individual health care provider with primary practice located at 115 Heart Dr , Greenville NC 27834-8982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Iannettoni, Mark David can be contacted via phone (252) 744-4400.Contact Information
Primary practice address
115 Heart Dr
Greenville NC 27834-8982
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35447 | Iowa |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2014-01742 | North Carolina |
Profile Details
| NPI number | 1164404976 |
|---|---|
| LBN Legal business name | Iannettoni, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Feb 14th, 2024 - about 7 months 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 | 1164404976 | NPPES |
| Iowa | MEDICAID | 0432120 | |
| Iowa | Other | 36310 | |
| Iowa | MEDICAID | 1164404976 | |
| Iowa | Other | 188J9 |
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