Kiefer, Mark Lewis

Kiefer, Mark Lewis is an individual health care provider with primary practice located at 1531 N Aspen St , Lincolnton NC 28092-7268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kiefer, Mark Lewis can be contacted via phone (704) 732-8736.

Contact Information

Primary practice address
1531 N Aspen St Lincolnton NC 28092-7268
Phone: (704) 732-8736
Fax: (704) 732-8121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200100251 North Carolina

Profile Details

NPI number 1134111719
LBN Legal business name Kiefer, Mark Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 20th, 2011 - about 15 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 1134111719 NPPES
North Carolina Other 128RE BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 89128RE BLUE CROSS BLUE SHIELD

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