Nyreen, Mark Roland
Nyreen, Mark Roland is an individual health care provider with primary practice located at 34509 9Th Ave S Ste 208 , Federal Way WA 98003-8709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nyreen, Mark Roland can be contacted via phone (253) 944-3278.Contact Information
Primary practice address
34509 9Th Ave S Ste 208
Federal Way WA 98003-8709
Phone: (253) 944-3278
Fax: (253) 944-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23476 | Washington |
Profile Details
| NPI number | 1669401048 |
|---|---|
| LBN Legal business name | Nyreen, Mark Roland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | May 6th, 2011 - about 15 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 | 1669401048 | NPPES |
| Washington | Other | 0246499 | STATE L&I |
| Washington | Other | 0188615 | STATE L&I |
| Washington | Other | 0246079 | STATE L&I |
| Washington | Other | 0226625 | STATE L&I |
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