Mr Mark Anthony Slaughter Sr, LVN is a
Licensed Vocational Nurse based in Riverside, California. Mr Mark Anthony Slaughter Sr is licensed to practice in California (license number VN233655) and his current practice location is
769 W Blaine St, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 358-4705.
NPI number for Mr Mark Anthony Slaughter Sr is 1013113042 and his current mailing address is 769 Blaine St., Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013113042.
Healthcare Provider's Profile
Full Name | Mr Mark Anthony Slaughter Sr |
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Gender | Male |
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Speciality | Licensed Vocational Nurse |
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Location | 769 W Blaine St, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013113042
- Provider Enumeration Date: 06/26/2007
- Last Update Date: 09/22/2011
Medical Identifiers
Medical identifiers for Mr Mark Anthony Slaughter Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013113042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
164X00000X | Licensed Vocational Nurse | VN233655 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Anthony Slaughter Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark Anthony Slaughter Sr, LVN 769 Blaine St., Riverside, CA 92507 Ph: (909) 821-1641 | Mr Mark Anthony Slaughter Sr, LVN 769 W Blaine St, Riverside, CA 92507-3970 Ph: (951) 358-4705 |
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