Gottron, Mark C
Gottron, Mark C is an individual health care provider with primary practice located at 905 Spruce St Suite 201, Irwin PA 15642-3683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gottron, Mark C can be contacted via phone (724) 864-9595.Contact Information
Primary practice address
905 Spruce St Suite 201
Irwin PA 15642-3683
Phone: (724) 864-9595
Fax: (724) 864-9860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS009999L | Pennsylvania |
Profile Details
| NPI number | 1093713968 |
|---|---|
| LBN Legal business name | Gottron, Mark C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Aug 2nd, 2010 - about 14 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 | 1093713968 | NPPES |
| Pennsylvania | MEDICAID | 0017975300001 |
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