Mark, Rufus J.
Mark, Rufus J. is an individual health care provider with primary practice located at 421 South Main Street , Crossville TN 38555-5048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mark, Rufus J. can be contacted via phone (931) 456-8390.Contact Information
Primary practice address
421 South Main Street
Crossville TN 38555-5048
Phone: (931) 456-8390
Fax: (931) 456-8389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 46094 | Arizona |
Profile Details
| NPI number | 1992786628 |
|---|---|
| LBN Legal business name | Mark, Rufus J. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 11th, 2024 - about 2 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 | 1992786628 | NPPES |
| Arizona | MEDICAID | 688655 | |
| Arizona | MEDICAID | Q090498 | |
| Arizona | Other | 920006823 | |
| Arizona | Other | P00607340 |
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