Krakauer, Mark
Krakauer, Mark is an individual health care provider with primary practice located at 1739 W Fairmont St , Allentown PA 18104-3117. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Krakauer, Mark can be contacted via phone (610) 437-4988.Contact Information
Primary practice address
1739 W Fairmont St
Allentown PA 18104-3117
Phone: (610) 437-4988
Fax: (610) 437-4988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD451379 | Pennsylvania |
Profile Details
| NPI number | 1063655181 |
|---|---|
| LBN Legal business name | Krakauer, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2009 |
| Last updated | Oct 15th, 2015 - about 10 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 | 1063655181 | NPPES |
| Pennsylvania | MEDICAID | 1029425580002 |
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