Smith, Mark David

Smith, Mark David is an individual health care provider with primary practice located at 225 Baldwin Ave , Charlotte NC 28204-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Mark David can be contacted via phone (704) 376-1605.

Contact Information

Primary practice address
225 Baldwin Ave Charlotte NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 335-8448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 200301056 North Carolina

Profile Details

NPI number 1750380580
LBN Legal business name Smith, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 17th, 2020 - about 5 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 1750380580 NPPES
Other P00074834 RAILROAD MEDICARE
MEDICAID 891346N RAILROAD MEDICARE
MEDICAID N01860 RAILROAD MEDICARE

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