Provider Demographics
NPI:1578730651
Name:MJ6 ENTERPRISES
Entity Type:Organization
Organization Name:MJ6 ENTERPRISES
Other - Org Name:WINTERSTEEN FOOT AND ANKLE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINTERSTEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:814-231-0130
Mailing Address - Street 1:51 GOLDFINCH CIR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1001
Mailing Address - Country:US
Mailing Address - Phone:717-567-9100
Mailing Address - Fax:
Practice Address - Street 1:900 CENTURY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4525
Practice Address - Country:US
Practice Address - Phone:717-567-7121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC00446R213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017222770006Medicaid
PA0017222770006Medicaid
022678Medicare PIN