Winters, Mark R
Winters, Mark R is an individual health care provider with primary practice located at 351 Edwin Dr Suite 102, Virginia Beach VA 23462-4559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Winters, Mark R can be contacted via phone (757) 499-5550.Contact Information
Primary practice address
351 Edwin Dr Suite 102
Virginia Beach VA 23462-4559
Phone: (757) 499-5550
Fax: (757) 473-0919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101033310 | Virginia |
Profile Details
| NPI number | 1144201062 |
|---|---|
| LBN Legal business name | Winters, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144201062 | NPPES |
| Virginia | MEDICAID | 010014859 | |
| Virginia | Other | 462018 | |
| Virginia | Other | P00136766 |
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