Brown, Mark Allen

Brown, Mark Allen is an individual health care provider with primary practice located at 3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Mark Allen can be contacted via phone (417) 885-3888.

Contact Information

Primary practice address
3801 S National Ave West Tower, Suite 700 Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 881-7638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-02092 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2005004531 Missouri

Profile Details

NPI number 1982651352
LBN Legal business name Brown, Mark Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 3rd, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982651352 NPPES
Washington Other 0215422 DEPARTMENT OF LABOR WA
Washington Other 23083 DEPARTMENT OF LABOR WA
Washington Other Q42967 DEPARTMENT OF LABOR WA
Washington Other 0604585 DEPARTMENT OF LABOR WA
Washington Other 195811 DEPARTMENT OF LABOR WA
Washington Other 18942 DEPARTMENT OF LABOR WA
Washington MEDICAID 502277007 DEPARTMENT OF LABOR WA

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