Nisgore, Mark Jay

Nisgore, Mark Jay is an individual health care provider with primary practice located at 1430 E Calvada Blvd Ste 100, Pahrump NV 89048-5824. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nisgore, Mark Jay can be contacted via phone (775) 751-1555.

Contact Information

Primary practice address
1430 E Calvada Blvd Ste 100 Pahrump NV 89048-5824
Phone: (775) 751-1555
Fax: (775) 751-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA737 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA737 Nevada

Profile Details

NPI number 1699763466
LBN Legal business name Nisgore, Mark Jay
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 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.

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