Anderson, Mark
Anderson, Mark is an individual health care provider with primary practice located at 2500 N State St Ummc - Neurology, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Anderson, Mark can be contacted via phone (601) 984-5517.Contact Information
Primary practice address
2500 N State St Ummc - Neurology
Jackson MS 39216-4500
Phone: (601) 984-5517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 22703 | Mississippi |
Profile Details
| NPI number | 1922202415 |
|---|---|
| LBN Legal business name | Anderson, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922202415 | NPPES |
| Mississippi | MEDICAID | P01266928 | |
| Mississippi | MEDICAID | 07276855 |
Popular Providers
-
Rose, Ethel S.
1500 E Woodrow Wilson Ave Vamc, 127, Jackson MS 39216-5116 -
Weldon, Patrick E
1860 Chadwick Drive Suite 258, Jackson MS 39204 -
Moore, Alan Rather
971 Lakeland Dr Suite 560 Muscle And Nerve Pa, Jackson MS 39216-4607 -
Wolfe, Jimmy V
1200 N State St Ste 420 , Jackson MS 39202-2027 -
Si, Xiaohong
2500 North State Street , Jackson MS 39216-4500 -
Letort, Derek
1200 N State St Ste 420 , Jackson MS 39202-2027 -
Wee, Abelardo
2500 North State Street , Jackson MS 39216 -
Tipton, Ancel C
971 Lakeland Dr Ste 1060, Jackson MS 39216-4609