Guilzon, Mark David

Guilzon, Mark David is an individual health care provider with primary practice located at 1 Hospital Dr , Lewisburg PA 17837-9350. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Guilzon, Mark David can be contacted via phone (570) 522-2640.

Contact Information

Primary practice address
1 Hospital Dr Lewisburg PA 17837-9350
Phone: (570) 522-2640
Fax: (570) 768-3921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA059673 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004445 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA059673 Pennsylvania

Profile Details

NPI number 1083632160
LBN Legal business name Guilzon, Mark David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 18th, 2019 - about 6 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 1083632160 NPPES
New York Other 040426006845 FIDELIS CARE
New York Other 000405428003 FIDELIS CARE

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