Durback, Mark A

Durback, Mark A is an sole proprietor health care provider with primary practice located at 21 Corporate Drive Suite 6, Easton PA 18045-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Durback, Mark A can be contacted via phone (610) 250-9605.

Contact Information

Primary practice address
21 Corporate Drive Suite 6 Easton PA 18045-2664
Phone: (610) 250-9605
Fax: (610) 250-3902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD027186E Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MA51321 New Jersey

Profile Details

NPI number 1689615601
LBN Legal business name Durback, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Feb 1st, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689615601 NPPES
Pennsylvania MEDICAID 001122106
Pennsylvania MEDICAID 2463105

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