Provider Demographics
NPI:1588859029
Name:MJ6 ENTERPRISES PC
Entity Type:Organization
Organization Name:MJ6 ENTERPRISES PC
Other - Org Name:WINTERSTEEN FOOT AND ANKLE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
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:814-231-0130
Mailing Address - Fax:
Practice Address - Street 1:36 RED HILL CT
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:PA
Practice Address - Zip Code:17074-8706
Practice Address - Country:US
Practice Address - Phone:717-567-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MJ6 ENTERPRISES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004446R213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty