Ingerman, Mark J

Ingerman, Mark J is an individual health care provider with primary practice located at 100 E Lancaster Ave Mob East 556, Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ingerman, Mark J can be contacted via phone (610) 896-0210.

Contact Information

Primary practice address
100 E Lancaster Ave Mob East 556 Wynnewood PA 19096-3450
Phone: (610) 896-0210
Fax: (610) 896-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD027650E Pennsylvania

Profile Details

NPI number 1164488490
LBN Legal business name Ingerman, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 22nd, 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 1164488490 NPPES
Pennsylvania Other 091243 BLUE SHIELD
Pennsylvania MEDICAID 1060291 BLUE SHIELD

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