Minchow, Mark Alan
Minchow, Mark Alan is an individual health care provider with primary practice located at 306 S 4Th St Suite 100, Seward NE 68434. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Minchow, Mark Alan can be contacted via phone (402) 643-2931.Contact Information
Primary practice address
306 S 4Th St Suite 100
Seward NE 68434
Phone: (402) 643-2931
Fax: (402) 643-4258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5918 | Nebraska |
Profile Details
| NPI number | 1285623330 |
|---|---|
| LBN Legal business name | Minchow, Mark Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 28th, 2022 - 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 | 1285623330 | NPPES |
| Nebraska | MEDICAID | 098472SE |
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