Marks, Phillip Glenn

Marks, Phillip Glenn is an individual health care provider with primary practice located at 1814 New Hanover Medical Park Dr , Wilmington NC 28403-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Marks, Phillip Glenn can be contacted via phone (910) 662-8765.

Contact Information

Primary practice address
1814 New Hanover Medical Park Dr Wilmington NC 28403-5350
Fax: (910) 362-9123
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 39444 North Carolina

Profile Details

NPI number 1720173420
LBN Legal business name Marks, Phillip Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 25th, 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 1720173420 NPPES
North Carolina Other 2150804C PSC MEDICARE PROVIDER #
North Carolina Other 53944 PSC MEDICARE PROVIDER #
North Carolina MEDICAID 8953944 PSC MEDICARE PROVIDER #
North Carolina Other P00064804 PSC MEDICARE PROVIDER #

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