Guisti, Mark Lee
Guisti, Mark Lee is an individual health care provider with primary practice located at 2363 N 5Th St Ste 106, Elko NV 89801-4593. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Guisti, Mark Lee can be contacted via phone (775) 738-3508.Contact Information
Primary practice address
2363 N 5Th St Ste 106
Elko NV 89801-4593
Phone: (775) 738-3508
Fax: (775) 738-4618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0700004503 | Nevada |
Profile Details
| NPI number | 1679518757 |
|---|---|
| LBN Legal business name | Guisti, Mark Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Aug 11th, 2010 - about 14 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 | 1679518757 | NPPES |
| Nevada | MEDICAID | 002504510 | |
| Nevada | Other | 410026356 | |
| Nevada | Other | 0805550001 |
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