Glick, Mark R
Glick, Mark R is an individual health care provider with primary practice located at 775 Norman Dr , Lebanon PA 17042-7497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Glick, Mark R can be contacted via phone (717) 274-5500.Contact Information
Primary practice address
775 Norman Dr
Lebanon PA 17042-7497
Phone: (717) 274-5500
Fax: (717) 202-0130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD037414E | Pennsylvania |
Profile Details
| NPI number | 1912984030 |
|---|---|
| LBN Legal business name | Glick, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Sep 6th, 2016 - about 8 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 | 1912984030 | NPPES |
| Pennsylvania | Other | PO1680949 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0011222870004 | RAILROAD MEDICARE |
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