Stewart, Mark Allen
Stewart, Mark Allen is an sole proprietor health care provider with primary practice located at 300 Veazey Dr , Butner NC 27509-1668. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stewart, Mark Allen can be contacted via phone (919) 764-2215.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004397 | North Carolina |
Profile Details
| NPI number | 1629137393 |
|---|---|
| LBN Legal business name | Stewart, Mark Allen |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Apr 15th, 2016 - about 9 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 | 1629137393 | NPPES |
| North Carolina | MEDICAID | 6002612 |
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