Basinger, Mark Alan

Basinger, Mark Alan is an individual health care provider with primary practice located at 1800 Market St , Lewisburg PA 17837-1236. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Basinger, Mark Alan can be contacted via phone (570) 524-9477.

Contact Information

Primary practice address
1800 Market St Lewisburg PA 17837-1236
Phone: (570) 524-9477
Fax: (570) 524-9492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014444 Pennsylvania

Profile Details

NPI number 1124069810
LBN Legal business name Basinger, Mark Alan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124069810 NPPES
Pennsylvania Other 080466 FPH - WMSPT ONLY
Pennsylvania Other 50000162 FPH - WMSPT ONLY

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