Osevala, Mark Allan

Osevala, Mark Allan is an individual health care provider with primary practice located at 252 S 4Th St Fl 2 , Lebanon PA 17042-6111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Osevala, Mark Allan can be contacted via phone (717) 270-3751.

Contact Information

Primary practice address
252 S 4Th St Fl 2 Lebanon PA 17042-6111
Phone: (717) 270-3751
Fax: (717) 270-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X OS005886L Pennsylvania

Profile Details

NPI number 1598723785
LBN Legal business name Osevala, Mark Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 24th, 2020 - 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 1598723785 NPPES
Pennsylvania MEDICAID 0011443640010

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