Provider Demographics
NPI:1245200567
Name:SINNING, MARK A (M D)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:SINNING
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 NEUSE BLVD.
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4311
Mailing Address - Country:US
Mailing Address - Phone:252-638-8118
Mailing Address - Fax:252-638-5192
Practice Address - Street 1:2203 NEUSE BLVD.
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4311
Practice Address - Country:US
Practice Address - Phone:252-638-8118
Practice Address - Fax:252-638-5192
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30730174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC76664OtherBCBS ID #
NC7976664Medicaid
NC7976664Medicaid
NCC86474Medicare UPIN