Nishiki, Mark H

Nishiki, Mark H is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Nishiki, Mark H can be contacted via phone (209) 943-2000.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 943-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X G56041 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G56041 California

Profile Details

NPI number 1457385890
LBN Legal business name Nishiki, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 3rd, 2024 - about last year

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 1457385890 NPPES
California Other G56041 STATE LICENCE
California MEDICAID 14573885890 STATE LICENCE
California Other AY850Z STATE LICENCE

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