Mark, Jennifer L

Mark, Jennifer L is an individual health care provider with primary practice located at 1900 Electric Rd , Salem VA 24153-7474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mark, Jennifer L can be contacted via phone (540) 772-3400.

Contact Information

Primary practice address
1900 Electric Rd Salem VA 24153-7474
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101235026 Virginia

Profile Details

NPI number 1558327676
LBN Legal business name Mark, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 7th, 2023 - about last year

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 1558327676 NPPES
Other P00403458 MEDICARE RAILROAD
MEDICAID 010407630 MEDICARE RAILROAD
Other P00330094 MEDICARE RAILROAD
Other P00330094 MEDICARE RAILROAD

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