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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457571325 NPPES
Pennsylvania MEDICAID 1182516
Pennsylvania Other 480006659
Pennsylvania Other 02645500

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