Lockett, Mark D
Lockett, Mark D is an individual health care provider with primary practice located at 6333 N Scottsdale Rd Unit 13 , Scottsdale AZ 85250-5428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lockett, Mark D can be contacted via phone (520) 272-3971.Contact Information
Primary practice address
6333 N Scottsdale Rd Unit 13
Scottsdale AZ 85250-5428
Phone: (520) 272-3971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30405 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2010-0156 | New Mexico |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 30405 | Arizona |
Profile Details
| NPI number | 1114913563 |
|---|---|
| LBN Legal business name | Lockett, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Feb 10th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114913563 | NPPES |
| Arizona | MEDICAID | 733958 |
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