Blakeslee, Mark Andrew
Blakeslee, Mark Andrew is an individual health care provider with primary practice located at 3 Hospital Dr Ste 212 , Lewisburg PA 17837-9394. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blakeslee, Mark Andrew can be contacted via phone (570) 522-9771.Contact Information
Primary practice address
3 Hospital Dr Ste 212
Lewisburg PA 17837-9394
Phone: (570) 522-9771
Fax: (570) 522-9772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | OS007656L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS007656L | Pennsylvania |
Profile Details
| NPI number | 1154340461 |
|---|---|
| LBN Legal business name | Blakeslee, Mark Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 7th, 2022 - about 3 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 | 1154340461 | NPPES |
| Pennsylvania | Other | P00170649 | RAILROAD MEDICARE |
| Pennsylvania | Other | 645269046 | RAILROAD MEDICARE |
| Pennsylvania | Other | 50002761 | RAILROAD MEDICARE |
| Pennsylvania | Other | 118438711 | RAILROAD MEDICARE |
| Pennsylvania | Other | 170622 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 18423860001 | RAILROAD MEDICARE |
| Pennsylvania | Other | 50002761 | RAILROAD MEDICARE |
| Pennsylvania | Other | 232809429 | RAILROAD MEDICARE |
| Pennsylvania | Other | G47849 | RAILROAD MEDICARE |
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