Phillips, Mark Lucas

Phillips, Mark Lucas is an sole proprietor health care provider with primary practice located at 522 N Elam Ave Ste 203, Greensboro NC 27403-1151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Phillips, Mark Lucas can be contacted via phone (336) 852-8444.

Contact Information

Primary practice address
522 N Elam Ave Ste 203 Greensboro NC 27403-1151
Phone: (336) 852-8444
Fax: (336) 852-8401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 25639 North Carolina

Profile Details

NPI number 1275511966
LBN Legal business name Phillips, Mark Lucas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Mar 30th, 2009 - about 15 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 1275511966 NPPES
North Carolina Other 720000034 RR MEDICARE
North Carolina Other 99475 RR MEDICARE
North Carolina Other 67625 RR MEDICARE
North Carolina Other 17619 RR MEDICARE
North Carolina Other 2007829 RR MEDICARE
North Carolina MEDICAID 8967625 RR MEDICARE
North Carolina Other 371987800 RR MEDICARE
North Carolina Other 5703760 RR MEDICARE

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