Jalkut, Mark W
Jalkut, Mark W is an individual health care provider with primary practice located at 3821 Ed Dr , Raleigh NC 27612-8038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jalkut, Mark W can be contacted via phone (919) 782-1255.Contact Information
Primary practice address
3821 Ed Dr
Raleigh NC 27612-8038
Phone: (919) 782-1255
Fax: (919) 782-6550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 200401230 | North Carolina |
Profile Details
| NPI number | 1326054859 |
|---|---|
| LBN Legal business name | Jalkut, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 7th, 2021 - about 4 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 | 1326054859 | NPPES |
| North Carolina | Other | 1377V | BCBS OF NC |
| North Carolina | MEDICAID | 891377V | BCBS OF NC |
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