Superstein, Mark B

Superstein, Mark B is an sole proprietor health care provider with primary practice located at 108 N Spring St , Manchester TN 37355-1563. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Superstein, Mark B can be contacted via phone (931) 728-3988.

Contact Information

Primary practice address
108 N Spring St Manchester TN 37355-1563
Phone: (931) 728-3988
Fax: (931) 728-6530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 246 Tennessee

Profile Details

NPI number 1922009216
LBN Legal business name Superstein, Mark B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Oct 7th, 2008 - about 18 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 1922009216 NPPES
Tennessee Other 5097239 CIGNA
Tennessee MEDICAID 3351041 CIGNA
Tennessee Other 48499 CIGNA

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