Romanoff, Mark Elliott

Romanoff, Mark Elliott is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Romanoff, Mark Elliott can be contacted via phone (704) 355-2372.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 355-2372
Fax: (704) 355-6692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36588 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 36588 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29428 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29428 South Carolina

Profile Details

NPI number 1841289758
LBN Legal business name Romanoff, Mark Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 2nd, 2018 - about 6 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 1841289758 NPPES
North Carolina MEDICAID 8973044
North Carolina MEDICAID N36588

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