Runnels, Mark
Runnels, Mark is an individual health care provider with primary practice located at 1421 N State St Ste 403, Jackson MS 39202-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Runnels, Mark can be contacted via phone (601) 353-9900.Contact Information
Primary practice address
1421 N State St Ste 403
Jackson MS 39202-1658
Phone: (601) 353-9900
Fax: (601) 353-3654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | T-2356 | Mississippi |
Profile Details
| NPI number | 1144532391 |
|---|---|
| LBN Legal business name | Runnels, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2010 |
| Last updated | Oct 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144532391 | NPPES |
| Mississippi | Other | 23772 | STATE LICENSE |
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