Perry, Mark Donald

Perry, Mark Donald is an individual health care provider with primary practice located at 23000 Moakley St Ste 102 , Leonardtown MD 20650-2916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Perry, Mark Donald can be contacted via phone (301) 475-5555.

Contact Information

Primary practice address
23000 Moakley St Ste 102 Leonardtown MD 20650-2916
Phone: (301) 475-5555
Fax: (301) 475-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D42699 Maryland
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X L1966 Texas
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X D42699 Maryland

Profile Details

NPI number 1437114402
LBN Legal business name Perry, Mark Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437114402 NPPES
Mississippi MEDICAID 01471731
Mississippi MEDICAID 009910562
Mississippi MEDICAID 009910563
Mississippi Other 51541964
Mississippi Other 51541965
Mississippi MEDICAID 144622102

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