Hald, Mark Edwin
Hald, Mark Edwin is an individual health care provider with primary practice located at 2622 Avenue C , Scottsbluff NE 69361-1680. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hald, Mark Edwin can be contacted via phone (308) 632-8547.Contact Information
Primary practice address
2622 Avenue C
Scottsbluff NE 69361-1680
Phone: (308) 632-8547
Fax: (308) 632-0135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 583 | Nebraska |
Profile Details
| NPI number | 1538241708 |
|---|---|
| LBN Legal business name | Hald, Mark Edwin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 31st, 2007 - about 17 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 | 1538241708 | NPPES |
| Nebraska | Other | 11223 | MIDLANDS CHOICE |
| Nebraska | Other | 08032 | MIDLANDS CHOICE |
| Nebraska | MEDICAID | 47083791626 | MIDLANDS CHOICE |
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