Davison, Mark Ellison
Davison, Mark Ellison is an individual health care provider with primary practice located at 315 S Allen St Suite 118, State College PA 16801-4849. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Davison, Mark Ellison can be contacted via phone (814) 237-2204.Contact Information
Primary practice address
315 S Allen St Suite 118
State College PA 16801-4849
Phone: (814) 237-2204
Fax: (814) 237-9611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC002529L | Pennsylvania |
Profile Details
NPI number | 1134187990 |
---|---|
LBN Legal business name | Davison, Mark Ellison |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
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