Rabin, Mark Alan

Rabin, Mark Alan is an sole proprietor health care provider with primary practice located at 2375 Woodward St Suite 111N, Philadelphia PA 19115-5120. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rabin, Mark Alan can be contacted via phone (215) 676-7080.

Contact Information

Primary practice address
2375 Woodward St Suite 111N Philadelphia PA 19115-5120
Phone: (215) 676-7080
Fax: (215) 676-7802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001354L Pennsylvania

Profile Details

NPI number 1457332405
LBN Legal business name Rabin, Mark Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Dec 25th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457332405 NPPES
Pennsylvania MEDICAID 0005067180001

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