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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164404976 NPPES
Iowa MEDICAID 0432120
Iowa Other 36310
Iowa MEDICAID 1164404976
Iowa Other 188J9

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