Allen, Mark Edward

Allen, Mark Edward is an individual health care provider with primary practice located at 800 Independence Blvd , Virginia Beach VA 23455-6005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Allen, Mark Edward can be contacted via phone (757) 363-6230.

Contact Information

Primary practice address
800 Independence Blvd Virginia Beach VA 23455-6005
Phone: (757) 363-6230
Fax: (757) 363-6204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166765 Virginia

Profile Details

NPI number 1558341420
LBN Legal business name Allen, Mark Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Dec 23rd, 2014 - about 12 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 1558341420 NPPES
Virginia Other 11919377 CAQH

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