Rackish, Mark A

Rackish, Mark A is an individual health care provider with primary practice located at 1705 Warren Ave Suite 101-103, Williamsport PA 17701-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Rackish, Mark A can be contacted via phone (570) 321-2020.

Contact Information

Primary practice address
1705 Warren Ave Suite 101-103 Williamsport PA 17701-2647
Fax: (570) 320-7576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD045565L Pennsylvania

Profile Details

NPI number 1003876715
LBN Legal business name Rackish, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Aug 18th, 2016 - about 8 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 1003876715 NPPES
Pennsylvania MEDICAID 001259522

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