Mark Livingston Jutras
Reproductive Endocrinologist
1918 Randolph Rd Ste 210
Charlotte
, North Carolina 28207-1109
Mark Livingston Jutras
Reproductive Endocrinologist
1918 Randolph Rd Ste 210
Charlotte
, North Carolina 28207-1109
(704) 992-1900
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Mark Livingston Jutras
- 1918 Randolph Rd Ste 210
- Charlotte, NC
- Zip : 28207-1109
- Fax : (704) 992-1900
- Phone : (704) 947-9000
Second Address
- Mark Livingston Jutras
- 1918 Randolph Rd Ste 210
- Charlotte, NC
- Zip : 28207-1109
- Fax : (704) 992-1900
- Phone : (704) 947-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 2006-01581 | NC |
| N | 207VE0102X | Reproductive Endocrinologist | 54438 | FL |
National Provider Identifier
| NPI | 1093771792 |
|---|---|
| Provider Name | Mark Livingston Jutras |
| First Address | Charlotte, NC 28207-1109 |
| Second Address | Charlotte, NC 28207-1109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E95698 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.