Provider Demographics
NPI:1265699201
Name:MJ6 ENTERPRISES PC
Entity type:Organization
Organization Name:MJ6 ENTERPRISES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
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:717-567-9100
Mailing Address - Street 1:900 CENTURY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4525
Mailing Address - Country:US
Mailing Address - Phone:717-766-1066
Mailing Address - Fax:
Practice Address - Street 1:51 GOLDFINCH CIR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1001
Practice Address - Country:US
Practice Address - Phone:717-567-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004446R213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty