Makan, Nizar R.

Makan, Nizar R. is an individual health care provider with primary practice located at 4465 Cordata Pkwy , Bellingham WA 98226-8037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Makan, Nizar R. can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
4465 Cordata Pkwy Bellingham WA 98226-8037
Phone: (360) 738-2200
Fax: (360) 752-5653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G40174 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00021424 Washington

Profile Details

NPI number 1497826424
LBN Legal business name Makan, Nizar R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Oct 4th, 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 1497826424 NPPES
Washington MEDICAID 1497826424
Washington Other 7017989
Washington Other 4466MA
Washington MEDICAID 00G401740
Washington Other 0229998

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