Hiser, Mark Warren
Hiser, Mark Warren is an individual health care provider with primary practice located at 444 Roxbury Road , Rockford IL 61107-5059. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hiser, Mark Warren can be contacted via phone (815) 398-3000.Contact Information
Primary practice address
444 Roxbury Road
Rockford IL 61107-5059
Phone: (815) 398-3000
Fax: (815) 398-3041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36055207 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 36055207 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 36055207 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 36055207 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 36055207 | Illinois |
Profile Details
| NPI number | 1538184924 |
|---|---|
| LBN Legal business name | Hiser, Mark Warren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 11th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538184924 | NPPES |
| Illinois | Other | 101 15501 | B/C B/S OF ILLINOIS |
| Illinois | Other | CB0709/060009209 | B/C B/S OF ILLINOIS |
| Illinois | MEDICAID | 036055207 1 | B/C B/S OF ILLINOIS |
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