Etter, Mark Douglas
Etter, Mark Douglas is an individual health care provider with primary practice located at 217 Harrisburg Ave The Heart Group Of Lghealth, Lancaster PA 17603-2964. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Etter, Mark Douglas can be contacted via phone (717) 544-8300.Contact Information
Primary practice address
217 Harrisburg Ave The Heart Group Of Lghealth
Lancaster PA 17603-2964
Phone: (717) 544-8300
Fax: (717) 544-8265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD070762L | Pennsylvania |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD070762L | Pennsylvania |
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | MD070762L | Pennsylvania |
Profile Details
NPI number | 1346217692 |
---|---|
LBN Legal business name | Etter, Mark Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2006 |
Last updated | May 17th, 2017 - about 7 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 | 1346217692 | NPPES |
Pennsylvania | MEDICAID | 0018303300005 |
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