Garbutt, Mark Gregory

Garbutt, Mark Gregory is an individual health care provider with primary practice located at 18971 Santa Maria Dr , Baton Rouge LA 70809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Garbutt, Mark Gregory can be contacted via phone (225) 329-7545.

Contact Information

Primary practice address
18971 Santa Maria Dr Baton Rouge LA 70809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15728R Louisiana

Profile Details

NPI number 1861488793
LBN Legal business name Garbutt, Mark Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 21st, 2019 - about 7 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 1861488793 NPPES
Louisiana MEDICAID 1475491
Louisiana Other P00330846
Louisiana Other 1861488793

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