Eubanks, Mark J

Eubanks, Mark J is an individual health care provider with primary practice located at 10 Cordage Park Cir Suite 201, Plymouth MA 02360-7318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eubanks, Mark J can be contacted via phone (508) 747-2924.

Contact Information

Primary practice address
10 Cordage Park Cir Suite 201 Plymouth MA 02360-7318
Phone: (508) 747-2924
Fax: (508) 830-0854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 224065 Massachusetts

Profile Details

NPI number 1619955465
LBN Legal business name Eubanks, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 19th, 2015 - about 11 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 1619955465 NPPES
Massachusetts Other 462282 TUFTS HEALTH PLAN
Massachusetts Other AA42003 TUFTS HEALTH PLAN
Massachusetts Other J29252 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2108488 TUFTS HEALTH PLAN

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