Prezioso, Mark
Prezioso, Mark is an individual health care provider with primary practice located at 250 S 21St St , Easton PA 18042-3851. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Prezioso, Mark can be contacted via phone (610) 250-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | OA002530 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA054542 | Pennsylvania |
Profile Details
| NPI number | 1992008825 |
|---|---|
| LBN Legal business name | Prezioso, Mark |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2010 |
| Last updated | Dec 15th, 2010 - about 16 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 | 1992008825 | NPPES |
| Pennsylvania | Other | OA002530 | OSTEOPATHIC LICENSE NUMBER |
| Pennsylvania | Other | MA054542 | OSTEOPATHIC LICENSE NUMBER |
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