Plaster, Mark D

Plaster, Mark D is an sole proprietor health care provider with primary practice located at 1133 Jackson St , Sidney NE 69162-1657. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Plaster, Mark D can be contacted via phone (308) 254-7267.

Contact Information

Primary practice address
1133 Jackson St Sidney NE 69162-1657
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1148 Nebraska

Profile Details

NPI number 1538227467
LBN Legal business name Plaster, Mark D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jun 13th, 2013 - about 13 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 1538227467 NPPES
Nebraska MEDICAID 47081130400
Nebraska Other 09551

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