Kase, Edwin Mark

Kase, Edwin Mark is an individual health care provider with primary practice located at 755 Norman Dr , Lebanon PA 17042-7497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kase, Edwin Mark can be contacted via phone (717) 273-6706.

Contact Information

Primary practice address
755 Norman Dr Lebanon PA 17042-7497
Phone: (717) 273-6706
Fax: (717) 273-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD068815L Pennsylvania

Profile Details

NPI number 1619969144
LBN Legal business name Kase, Edwin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 3rd, 2010 - about 15 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 1619969144 NPPES
Other 01344901 CAPITAL BLUE CROSS
Other P003056 CAPITAL BLUE CROSS
Other 467138 CAPITAL BLUE CROSS
MEDICAID 0018033970001 CAPITAL BLUE CROSS

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