Provider Demographics
NPI:1891360087
Name:SMITH, MARK HUNTER
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:HUNTER
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:STEELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17113-2079
Mailing Address - Country:US
Mailing Address - Phone:717-645-1920
Mailing Address - Fax:
Practice Address - Street 1:577 NORTH ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2079
Practice Address - Country:US
Practice Address - Phone:717-645-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker