Shampain, Mark P
Shampain, Mark P is an sole proprietor health care provider with primary practice located at 3131 College Heights Blvd Ste 200, Allentown PA 18104-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Shampain, Mark P can be contacted via phone (610) 820-7611.Contact Information
Primary practice address
3131 College Heights Blvd Ste 200
Allentown PA 18104-4812
Phone: (610) 820-7611
Fax: (610) 820-9884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | MD025134E | Pennsylvania |
Profile Details
| NPI number | 1558363085 |
|---|---|
| LBN Legal business name | Shampain, Mark P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1558363085 | NPPES |
| Pennsylvania | MEDICAID | 08418110001 |
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