Smith, Mark Alan
Smith, Mark Alan is an sole proprietor health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Smith, Mark Alan can be contacted via phone (336) 718-8278.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 718-8278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN 323 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 096869 | North Carolina |
Profile Details
| NPI number | 1639161029 |
|---|---|
| LBN Legal business name | Smith, Mark Alan |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Oct 28th, 2020 - about 4 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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