Hilliard, Mark L

Hilliard, Mark L is an individual health care provider with primary practice located at 5901 Westown Pkwy Suite 210, West Des Moines IA 50266-8218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hilliard, Mark L can be contacted via phone (515) 221-9222.

Contact Information

Primary practice address
5901 Westown Pkwy Suite 210 West Des Moines IA 50266-8218
Phone: (515) 221-9222
Fax: (515) 221-0575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D090565 Iowa

Profile Details

NPI number 1336147339
LBN Legal business name Hilliard, Mark L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 30th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336147339 NPPES
Iowa MEDICAID 0209593
Iowa Other 50171
Iowa Other 50171

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