Jasmine, Mark Scott
Jasmine, Mark Scott is an individual health care provider with primary practice located at 354 Copperfield Blvd Ne , Concord NC 28025-2402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jasmine, Mark Scott can be contacted via phone (704) 788-3155.Contact Information
Primary practice address
354 Copperfield Blvd Ne
Concord NC 28025-2402
Phone: (704) 788-3155
Fax: (704) 785-8302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 28052 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 28052 | North Carolina |
Profile Details
| NPI number | 1720065451 |
|---|---|
| LBN Legal business name | Jasmine, Mark Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720065451 | NPPES |
| Other | 4066545 | AETNA HMO PPO | |
| Other | 22924 | AETNA HMO PPO | |
| Other | 25928 | AETNA HMO PPO | |
| Other | 45845 | AETNA HMO PPO | |
| Other | 0941048 | AETNA HMO PPO | |
| Other | 140895 | AETNA HMO PPO | |
| Other | 0825076004 | AETNA HMO PPO | |
| Other | 2069463 | AETNA HMO PPO | |
| Other | 530004 | AETNA HMO PPO |
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