Neimat, Mark Matthew

Neimat, Mark Matthew is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001-8642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Neimat, Mark Matthew can be contacted via phone (307) 733-3636.

Contact Information

Primary practice address
625 E Broadway Ave Jackson WY 83001-8642
Phone: (307) 733-3636
Fax: (888) 329-5701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10289A Wyoming
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13244411-1205 Utah

Profile Details

NPI number 1407143100
LBN Legal business name Neimat, Mark Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2011
Last updated Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407143100 NPPES
Wyoming MEDICAID 142001100

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