Obenrader, Mark Francis

Obenrader, Mark Francis is an individual health care provider with primary practice located at 515 Pennsylvania Ave 2Nd Fl Suite A, Fort Washington PA 19034-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Obenrader, Mark Francis can be contacted via phone (215) 540-8408.

Contact Information

Primary practice address
515 Pennsylvania Ave 2Nd Fl Suite A Fort Washington PA 19034-3314
Fax: (215) 540-8418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD025847E Pennsylvania

Profile Details

NPI number 1083698229
LBN Legal business name Obenrader, Mark Francis
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 1st, 2013 - about 12 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 1083698229 NPPES
Pennsylvania MEDICAID 007057785
Pennsylvania Other 110115445
Pennsylvania Other P00360693
Pennsylvania Other 12212
Pennsylvania Other 445439
Pennsylvania Other 3725226
Pennsylvania Other 3Y7167
Pennsylvania Other 4104719
Pennsylvania Other 30019076
Pennsylvania Other 0047316000

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