Detweiler, Mark Kenneth

Detweiler, Mark Kenneth is an individual health care provider with primary practice located at 1B Commons Dr Unit 9A, Londonderry NH 03053-3441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Detweiler, Mark Kenneth can be contacted via phone (603) 818-4712.

Contact Information

Primary practice address
1B Commons Dr Unit 9A Londonderry NH 03053-3441
Phone: (603) 818-4712
Fax: (603) 421-6899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6919 New Hampshire
Other Service Providers / Specialist 174400000X 6919 New Hampshire

Profile Details

NPI number 1548344583
LBN Legal business name Detweiler, Mark Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 24th, 2019 - about 7 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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