Bisignani, Mark A
Bisignani, Mark A is an individual health care provider with primary practice located at 1165 S Dora St , Ukiah CA 95482-8325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bisignani, Mark A can be contacted via phone (707) 463-3636.Contact Information
Primary practice address
1165 S Dora St
Ukiah CA 95482-8325
Phone: (707) 463-3636
Fax: (707) 463-2714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 38599 | Minnesota |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G151223 | California |
Profile Details
| NPI number | 1487655882 |
|---|---|
| LBN Legal business name | Bisignani, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487655882 | NPPES |
| Minnesota | Other | 18A02BU | BLUE CROSS/SHIELD |
| Minnesota | Other | 2400131 | BLUE CROSS/SHIELD |
| Minnesota | Other | 2400132 | BLUE CROSS/SHIELD |
| Minnesota | MEDICAID | 32628800 | BLUE CROSS/SHIELD |
| Minnesota | Other | 112202 | BLUE CROSS/SHIELD |
| Minnesota | Other | 26712 | BLUE CROSS/SHIELD |
| Minnesota | Other | 108453 | BLUE CROSS/SHIELD |
| Minnesota | Other | 963071012227 | BLUE CROSS/SHIELD |
| Minnesota | Other | HP19060 | BLUE CROSS/SHIELD |
| Minnesota | MEDICAID | 001219000 | BLUE CROSS/SHIELD |
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