Zukaitis, Mark G

Zukaitis, Mark G is an individual health care provider with primary practice located at 2825 Randolph Rd , Charlotte NC 28211-1075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Zukaitis, Mark G can be contacted via phone (704) 377-1647.

Contact Information

Primary practice address
2825 Randolph Rd Charlotte NC 28211-1075
Phone: (704) 377-1647
Fax: (704) 358-8267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20225 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 20225 North Carolina

Profile Details

NPI number 1366406357
LBN Legal business name Zukaitis, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 31st, 2016 - about 8 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 1366406357 NPPES
North Carolina Other 1146V BLUE CROSS NC ID#
North Carolina MEDICAID 891146V BLUE CROSS NC ID#
North Carolina MEDICAID N20225 BLUE CROSS NC ID#

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