Collister, Mark L.

Collister, Mark L. is an individual health care provider with primary practice located at 435 W 4Th St , Williamsport PA 17701-6001. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Collister, Mark L. can be contacted via phone (570) 322-7873.

Contact Information

Primary practice address
435 W 4Th St Williamsport PA 17701-6001
Phone: (570) 322-7873
Fax: (570) 322-8026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW124379 Pennsylvania

Profile Details

NPI number 1225078082
LBN Legal business name Collister, Mark L.
Credentials L.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 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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