Nikkel, Mark Ryan
Nikkel, Mark Ryan is an individual health care provider with primary practice located at 955 S Bailey Ave , South Haven MI 49090-6743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nikkel, Mark Ryan can be contacted via phone (269) 637-5271.Contact Information
Primary practice address
955 S Bailey Ave
South Haven MI 49090-6743
Phone: (269) 637-5271
Fax: (269) 639-2818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 36100980 | Illinois |
Profile Details
| NPI number | 1699762336 |
|---|---|
| LBN Legal business name | Nikkel, Mark Ryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1699762336 | NPPES |
| Illinois | Other | 1023138633 | GROUP NPI NUMBER |
| Illinois | Other | 31622992 | GROUP NPI NUMBER |
| Illinois | Other | 036-100980 | GROUP NPI NUMBER |
| Illinois | MEDICAID | 036100980 | GROUP NPI NUMBER |
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