Speicher, Mark Paul

Speicher, Mark Paul is an individual health care provider with primary practice located at 33-57 Harrison St Hospitalist Dept, Johnson City NY 13790-2107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Speicher, Mark Paul can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Hospitalist Dept Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 213917 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS009551L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 213917-1 New York

Profile Details

NPI number 1346215845
LBN Legal business name Speicher, Mark Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Sep 12th, 2012 - 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 1346215845 NPPES
New York MEDICAID 02052197
New York MEDICAID 0017620980002
New York Other P00624424
New York Other 110221437
New York Other CC8362

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