Mcbride, Mark A
Mcbride, Mark A is an individual health care provider with primary practice located at 21 Highland Ave Se Ste 100, Roanoke VA 24013-2218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcbride, Mark A can be contacted via phone (540) 344-9213.Contact Information
Primary practice address
21 Highland Ave Se Ste 100
Roanoke VA 24013-2218
Phone: (540) 344-9213
Fax: (540) 345-7559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101051297 | Virginia |
Profile Details
| NPI number | 1952305773 |
|---|---|
| LBN Legal business name | Mcbride, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 17th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952305773 | NPPES |
| Virginia | Other | 080286000 | SOUTHERN HEALTH |
| Virginia | Other | 236880 | SOUTHERN HEALTH |
| Virginia | Other | 5058981001 | SOUTHERN HEALTH |
| Virginia | Other | 281060 | SOUTHERN HEALTH |
| Virginia | Other | 54088505610 | SOUTHERN HEALTH |
| Virginia | Other | 4509836 | SOUTHERN HEALTH |
| Virginia | MEDICAID | 006714153 | SOUTHERN HEALTH |
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