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
Phone: (215) 540-8408
Fax: (215) 540-8418
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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