Heinly, Mark Nevin

Heinly, Mark Nevin is an individual health care provider with primary practice located at 20 Erford Rd Suite 202, Lemoyne PA 17043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Heinly, Mark Nevin can be contacted via phone (717) 737-3500.

Contact Information

Primary practice address
20 Erford Rd Suite 202 Lemoyne PA 17043
Phone: (717) 737-3500
Fax: (717) 795-8841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD053565L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD053565L Pennsylvania

Profile Details

NPI number 1265502561
LBN Legal business name Heinly, Mark Nevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jun 25th, 2020 - about 5 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 1265502561 NPPES
Pennsylvania MEDICAID 0017075500002

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