Principe, Mark S

Principe, Mark S is an individual health care provider with primary practice located at 180 Wingo Way Suite 304, Mt Pleasant SC 29464-1810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Principe, Mark S can be contacted via phone (843) 884-8045.

Contact Information

Primary practice address
180 Wingo Way Suite 304 Mt Pleasant SC 29464-1810
Phone: (843) 884-8045
Fax: (843) 881-5081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 583 South Carolina

Profile Details

NPI number 1023017993
LBN Legal business name Principe, Mark S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 27th, 2021 - about 5 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 1023017993 NPPES
South Carolina MEDICAID 0431PA
South Carolina Other P00930476

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