Nilsson, Mark William

Nilsson, Mark William is an individual health care provider with primary practice located at 1770 Red Cliffs Dr 214, St George UT 84790-8144. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Nilsson, Mark William can be contacted via phone (435) 628-3192.

Contact Information

Primary practice address
1770 Red Cliffs Dr 214 St George UT 84790-8144
Phone: (435) 628-3192
Fax: (435) 628-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1012074601 Utah

Profile Details

NPI number 1316195944
LBN Legal business name Nilsson, Mark William
Credentials B.S. BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Jul 1st, 2014 - about 11 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 1316195944 NPPES
Utah MEDICAID 870429766000

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