Kerestan, Mark

Kerestan, Mark is an individual health care provider with primary practice located at 812 Broad Ave , Belle Vernon PA 15012-1664. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kerestan, Mark can be contacted via phone (724) 929-5774.

Contact Information

Primary practice address
812 Broad Ave Belle Vernon PA 15012-1664
Phone: (724) 929-5774
Fax: (724) 929-9524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006525L Pennsylvania

Profile Details

NPI number 1669400289
LBN Legal business name Kerestan, Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 11th, 2009 - about 15 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 1669400289 NPPES
Pennsylvania Other 251570641 TAX ID
Pennsylvania MEDICAID 0015935850006 TAX ID

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