Mentrikoski, Mark J

Mentrikoski, Mark J is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1678. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mentrikoski, Mark J can be contacted via phone (570) 271-6338.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1678
Phone: (570) 271-6338
Fax: (570) 271-6105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD459836 Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X Q5040 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Q5040 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD459836 Pennsylvania

Profile Details

NPI number 1427372044
LBN Legal business name Mentrikoski, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Oct 20th, 2023 - about 2 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 1427372044 NPPES
Texas MEDICAID 347336501

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