Contrael, Mark Joseph
Contrael, Mark Joseph is an individual health care provider with primary practice located at 510 Butler Ave , Martinsburg WV 25405-9990. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Contrael, Mark Joseph can be contacted via phone (304) 263-0811.Contact Information
Primary practice address
510 Butler Ave
Martinsburg WV 25405-9990
Phone: (304) 263-0811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA055371 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA055371 | Pennsylvania |
Profile Details
| NPI number | 1609824085 |
|---|---|
| LBN Legal business name | Contrael, Mark Joseph |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 28th, 2021 - about 5 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 | 1609824085 | NPPES |
| Pennsylvania | MEDICAID | 103149470 | |
| Pennsylvania | Other | 001722694 |
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