Principe, Mark S
Principe, Mark S is an individual health care provider with primary practice located at 180 Wingo Way Suite 304, Mt Pleasant SC 29464-1810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Principe, Mark S can be contacted via phone (843) 884-8045.Contact Information
Primary practice address
180 Wingo Way Suite 304
Mt Pleasant SC 29464-1810
Phone: (843) 884-8045
Fax: (843) 881-5081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 583 | South Carolina |
Profile Details
NPI number | 1023017993 |
---|---|
LBN Legal business name | Principe, Mark S |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Jan 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023017993 | NPPES |
South Carolina | MEDICAID | 0431PA | |
South Carolina | Other | P00930476 |
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