Messenger, Mark J

Messenger, Mark J is an individual health care provider with primary practice located at 75 Sylvan St Ste B102 , Danvers MA 01923-2764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Messenger, Mark J can be contacted via phone (978) 774-7566.

Contact Information

Primary practice address
75 Sylvan St Ste B102 Danvers MA 01923-2764
Fax: (978) 223-9953
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 59153 Massachusetts

Profile Details

NPI number 1194726471
LBN Legal business name Messenger, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194726471 NPPES
Massachusetts MEDICAID 3030270

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