Reznik, Mark

Reznik, Mark is an individual health care provider with primary practice located at 10880 Durant Rd Ste 324 , Raleigh NC 27614-6629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Reznik, Mark can be contacted via phone (919) 787-7246.

Contact Information

Primary practice address
10880 Durant Rd Ste 324 Raleigh NC 27614-6629
Phone: (919) 787-7246
Fax: (919) 787-7247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2009-00863 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2009-00863 North Carolina

Profile Details

NPI number 1316988140
LBN Legal business name Reznik, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 25th, 2020 - about 6 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 1316988140 NPPES
North Carolina Other 152RM BCBSNC
North Carolina MEDICAID 59-11943 BCBSNC
North Carolina Other 2208572 BCBSNC
North Carolina Other 4256796 BCBSNC
North Carolina Other 7078808 BCBSNC
North Carolina Other P00725886 BCBSNC

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