Pita, Mark Anthony

Pita, Mark Anthony is an individual health care provider with primary practice located at 251 N Bayou St , Mobile AL 36603-5827. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Pita, Mark Anthony can be contacted via phone (251) 690-8894.

Contact Information

Primary practice address
251 N Bayou St Mobile AL 36603-5827
Phone: (251) 690-8894
Fax: (251) 544-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 30547 Alabama

Profile Details

NPI number 1871767145
LBN Legal business name Pita, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Dec 13th, 2010 - about 14 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 1871767145 NPPES
Alabama MEDICAID 630000013
Alabama Other 011846
Alabama Other 1063439065

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