Frey, Mark Douglas
Frey, Mark Douglas is an sole proprietor health care provider with primary practice located at 401 E Gold Coast Rd Ste 331 , Papillion NE 68046-4194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Frey, Mark Douglas can be contacted via phone (402) 292-9800.Contact Information
Primary practice address
401 E Gold Coast Rd Ste 331
Papillion NE 68046-4194
Phone: (402) 292-9800
Fax: (402) 292-2550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21783 | Nebraska |
Profile Details
| NPI number | 1336116797 |
|---|---|
| LBN Legal business name | Frey, Mark Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Aug 7th, 2023 - about 2 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 | 1336116797 | NPPES |
| Nebraska | Other | 06089 | BCBS |
| Nebraska | MEDICAID | 0588731 | BCBS |
| Nebraska | MEDICAID | 10025184900 | BCBS |
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