Nielsen, Mark
Nielsen, Mark is an sole proprietor health care provider with primary practice located at 1908 Binfield St Ste 4 , Elkhorn NE 68022-2889. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nielsen, Mark can be contacted via phone (402) 289-2036.Contact Information
Primary practice address
1908 Binfield St Ste 4
Elkhorn NE 68022-2889
Phone: (402) 289-2036
Fax: (402) 289-5694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6379 | Nebraska |
Profile Details
| NPI number | 1932290822 |
|---|---|
| LBN Legal business name | Nielsen, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1932290822 | NPPES |
| Iowa | MEDICAID | 0464586 |
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