Niles, Mark Anthony
Niles, Mark Anthony is an sole proprietor health care provider with primary practice located at 200 E 5Th St , Tipton IA 52772-1851. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Niles, Mark Anthony can be contacted via phone (563) 886-6900.Contact Information
Primary practice address
200 E 5Th St
Tipton IA 52772-1851
Phone: (563) 886-6900
Fax: (563) 886-2380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4975 | Iowa |
Profile Details
| NPI number | 1528058484 |
|---|---|
| LBN Legal business name | Niles, Mark Anthony |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | May 10th, 2012 - about 13 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 | 1528058484 | NPPES |
| Iowa | MEDICAID | 207357 |
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