Lijewski, Mark Allen

Lijewski, Mark Allen is an individual health care provider with primary practice located at 853 N Church St Suite 620, Spartanburg SC 29303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lijewski, Mark Allen can be contacted via phone (864) 560-1674.

Contact Information

Primary practice address
853 N Church St Suite 620 Spartanburg SC 29303
Fax: (864) 560-1690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19685 South Carolina

Profile Details

NPI number 1487625471
LBN Legal business name Lijewski, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 4th, 2021 - about 4 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 1487625471 NPPES
South Carolina Other 4567467 AETNA
South Carolina Other C8691 AETNA
South Carolina Other F794565206 AETNA
South Carolina MEDICAID 196852 AETNA
South Carolina MEDICAID 89066WX AETNA

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