Evans, Mark W
Evans, Mark W is an individual health care provider with primary practice located at 2101 Embassy Dr , Lancaster PA 17603-2387. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Evans, Mark W can be contacted via phone (717) 735-7410.Contact Information
Primary practice address
2101 Embassy Dr
Lancaster PA 17603-2387
Phone: (717) 735-7410
Fax: (717) 735-7438
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC-003096L | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC003096L | Pennsylvania |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC003096L | Pennsylvania |
Profile Details
NPI number | 1457571325 |
---|---|
LBN Legal business name | Evans, Mark W |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2007 |
Last updated | Sep 29th, 2021 - about 4 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 | 1457571325 | NPPES |
Pennsylvania | MEDICAID | 1182516 | |
Pennsylvania | Other | 480006659 | |
Pennsylvania | Other | 02645500 |
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