Thomas, Mark S.

Thomas, Mark S. is an individual health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Thomas, Mark S. can be contacted via phone (479) 463-7102.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703-4424
Phone: (479) 463-7102
Fax: (479) 463-7864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-0779 Arkansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X E-0779 Arkansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X E-0779 Arkansas

Profile Details

NPI number 1699755942
LBN Legal business name Thomas, Mark S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 7th, 2017 - about 9 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 1699755942 NPPES
Arkansas Other 080102352 RAILROAD MEDICARE
Arkansas Other 341359 RAILROAD MEDICARE
Arkansas Other 5J987 RAILROAD MEDICARE
Arkansas MEDICAID 128927001 RAILROAD MEDICARE
Arkansas Other 991261 RAILROAD MEDICARE
Arkansas Other 1143438 RAILROAD MEDICARE
Arkansas Other 16642000000 RAILROAD MEDICARE
Arkansas Other 4250606 RAILROAD MEDICARE

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