Stevens, Mark A
Stevens, Mark A is an individual health care provider with primary practice located at 19 Solomia Dr , Mills River NC 28759-0068. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Stevens, Mark A can be contacted via phone (603) 724-1954.Contact Information
Primary practice address
19 Solomia Dr
Mills River NC 28759-0068
Phone: (603) 724-1954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 2019-02734 | North Carolina |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 2019-02734 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 2019-02734 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2019-02734 | North Carolina |
Profile Details
| NPI number | 1134145105 |
|---|---|
| LBN Legal business name | Stevens, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 28th, 2023 - about last year |
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 | 1134145105 | NPPES |
| North Carolina | MEDICAID | 1134145105 | |
| North Carolina | MEDICAID | 30008716 | |
| North Carolina | Other | PENDING |
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