Warner, Mark
Warner, Mark is an individual health care provider with primary practice located at 5030 State Road Ste 2-900, Drexel Hill PA 19026-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Warner, Mark can be contacted via phone (610) 623-9080.Contact Information
Primary practice address
5030 State Road Ste 2-900
Drexel Hill PA 19026-4653
Phone: (610) 623-9080
Fax: (610) 623-3861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS005359L | Pennsylvania |
Profile Details
| NPI number | 1477675635 |
|---|---|
| LBN Legal business name | Warner, Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jun 26th, 2008 - about 16 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 | 1477675635 | NPPES |
| Pennsylvania | MEDICAID | 0010979340002 |
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