Worthen, Mark Stuart
Worthen, Mark Stuart is an individual health care provider with primary practice located at 4917 S Croatan Hwy Ste 1A , Nags Head NC 27959-8996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Worthen, Mark Stuart can be contacted via phone (252) 449-6160.Contact Information
Primary practice address
4917 S Croatan Hwy Ste 1A
Nags Head NC 27959-8996
Phone: (252) 449-6160
Fax: (252) 449-6161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31410 | North Carolina |
Profile Details
| NPI number | 1619085115 |
|---|---|
| LBN Legal business name | Worthen, Mark Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2006 |
| Last updated | Mar 17th, 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 | 1619085115 | NPPES |
| North Carolina | MEDICAID | 1619085115 | |
| North Carolina | Other | 89255 | |
| North Carolina | MEDICAID | 7989255 |
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