Minor, Mark R

Minor, Mark R is an individual health care provider with primary practice located at 820 Bryan St Suite 3, Huntingdon PA 16652-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Minor, Mark R can be contacted via phone (814) 643-8474.

Contact Information

Primary practice address
820 Bryan St Suite 3 Huntingdon PA 16652-2409
Fax: (814) 643-8477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD044701L Pennsylvania

Profile Details

NPI number 1720130107
LBN Legal business name Minor, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 6th, 2011 - about 13 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 1720130107 NPPES
Pennsylvania Other 251881378 UNITED HEALTH CARE
Pennsylvania MEDICAID 0072073720003 UNITED HEALTH CARE
Pennsylvania Other MI674735 UNITED HEALTH CARE

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