Miller, Mark Andrew
Miller, Mark Andrew is an individual health care provider with primary practice located at 2035 Technology Pkwy Ste 201 , Mechanicsburg PA 17050-9422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Miller, Mark Andrew can be contacted via phone (717) 221-5940.Contact Information
Primary practice address
2035 Technology Pkwy Ste 201
Mechanicsburg PA 17050-9422
Phone: (717) 221-5940
Fax: (717) 233-1939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS014115 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0102201618 | Virginia |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | OS014115 | Pennsylvania |
Profile Details
| NPI number | 1265572093 |
|---|---|
| LBN Legal business name | Miller, Mark Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | May 14th, 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 | 1265572093 | NPPES |
| Pennsylvania | MEDICAID | 102281226 | |
| Pennsylvania | Other | 2092940 | |
| Pennsylvania | MEDICAID | 102281266 |
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