Williamson, Mark Bascom
Williamson, Mark Bascom is an sole proprietor health care provider with primary practice located at 218 Old Mocksville Rd , Statesville NC 28625-1930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Williamson, Mark Bascom can be contacted via phone (704) 838-7091.Contact Information
Primary practice address
218 Old Mocksville Rd
Statesville NC 28625-1930
Phone: (704) 838-7091
Fax: (704) 838-7093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 97-00161 | North Carolina |
Profile Details
| NPI number | 1679685929 |
|---|---|
| LBN Legal business name | Williamson, Mark Bascom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 19th, 2008 - about 17 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 | 1679685929 | NPPES |
| Other | P00298227 | MEDICARE RAILROAD | |
| MEDICAID | 891022N | MEDICARE RAILROAD |
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