Scott, Mark J
Scott, Mark J is an individual health care provider with primary practice located at 7945 Wolf River Blvd Ste 300, Germantown TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Scott, Mark J can be contacted via phone (901) 684-2400.Contact Information
Primary practice address
7945 Wolf River Blvd Ste 300
Germantown TN 38138-1762
Phone: (901) 684-2400
Fax: (901) 722-0442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | PA0004 | Tennessee |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | PA174 | Arkansas |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 06PA022 | Mississippi |
Profile Details
NPI number | 1124028469 |
---|---|
LBN Legal business name | Scott, Mark J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2005 |
Last updated | Oct 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124028469 | NPPES |
Tennessee | MEDICAID | 3668933 | |
Tennessee | Other | 1124028469 |
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