Jutras, Mark Livingston

Jutras, Mark Livingston is an sole proprietor health care provider with primary practice located at 1918 Randolph Rd Ste 210 , Charlotte NC 28207-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Jutras, Mark Livingston can be contacted via phone (704) 947-9000.

Contact Information

Primary practice address
1918 Randolph Rd Ste 210 Charlotte NC 28207-1109
Phone: (704) 947-9000
Fax: (704) 992-1900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 54438 Florida
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 2006-01581 North Carolina

Profile Details

NPI number 1093771792
LBN Legal business name Jutras, Mark Livingston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2006
Last updated Mar 17th, 2018 - about 6 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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