Ford, Mark Stevens

Ford, Mark Stevens is an individual health care provider with primary practice located at 2800 Wellford St Suite 100, Fredericksburg VA 22401-3176. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ford, Mark Stevens can be contacted via phone (540) 361-1830.

Contact Information

Primary practice address
2800 Wellford St Suite 100 Fredericksburg VA 22401-3176
Phone: (540) 361-1830
Fax: (540) 361-1829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110001015 Virginia

Profile Details

NPI number 1710964812
LBN Legal business name Ford, Mark Stevens
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 8th, 2020 - about 6 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 1710964812 NPPES
Other 4330530001 DMERC

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