Individual
MARK E EINBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1780 NICHOLASVILLE RD, STE 501, LEXINGTON, KY 40503-1400
(859) 278-3481
(859) 277-7365
Mailing address
1780 NICHOLASVILLE RD, STE 501, LEXINGTON, KY 40503-1400
(859) 278-3481
(859) 277-7365
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27473
KY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
27473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047278
BCBS NUMBER
KY
01
—
4577309
AETNA PROVIDER NUMBER
KY
05
—
64274731
—
KY
Enumeration date
06/09/2006
Last updated
01/12/2012
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