Alexander, Mark Brian

Alexander, Mark Brian is an individual health care provider with primary practice located at 101 E Wood St Ste 401 , Spartanburg SC 29303-3040. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Alexander, Mark Brian can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Ste 401 Spartanburg SC 29303-3040
Phone: (864) 560-6654
Fax: (864) 560-7353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22490 South Carolina

Profile Details

NPI number 1871065003
LBN Legal business name Alexander, Mark Brian
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Dec 7th, 2020 - about 5 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 1871065003 NPPES
South Carolina MEDICAID NP5668
South Carolina Other SCE2819068
South Carolina Other SCE2815019
South Carolina Other SCE2817628

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