Lombardi, Mark Vincent
Lombardi, Mark Vincent is an individual health care provider with primary practice located at 334 Main St , Dickson City PA 18519-1620. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Lombardi, Mark Vincent can be contacted via phone (570) 307-1769.Contact Information
Primary practice address
334 Main St
Dickson City PA 18519-1620
Phone: (570) 307-1769
Fax: (570) 307-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | RT000583A | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | DAPT000008 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 60911469 | Washington |
| Other Service Providers / Specialist | 174400000X | PT-009747-L | Pennsylvania |
Profile Details
| NPI number | 1740240670 |
|---|---|
| LBN Legal business name | Lombardi, Mark Vincent |
| Credentials | PT DPT ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740240670 | NPPES |
| Pennsylvania | Other | 000154421 | BC/BS PROVIDER # |
| Pennsylvania | Other | 819791 | BC/BS PROVIDER # |
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