Rester, Mark Owen
Rester, Mark Owen is an sole proprietor health care provider with primary practice located at 1000 Lakeland Square Ext Ste. 900, Flowood MS 39232-7620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rester, Mark Owen can be contacted via phone (601) 326-7632.Contact Information
Primary practice address
1000 Lakeland Square Ext Ste. 900
Flowood MS 39232-7620
Phone: (601) 326-7632
Fax: (601) 326-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16623 | Mississippi |
Profile Details
| NPI number | 1538140512 |
|---|---|
| LBN Legal business name | Rester, Mark Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Apr 28th, 2016 - about 10 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 | 1538140512 | NPPES |
| Mississippi | MEDICAID | 00121487 |
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