Nishiya, Mark
Nishiya, Mark is an individual health care provider with primary practice located at 2373 G Rd Suite 200, Grand Junction CO 81505-9641. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nishiya, Mark can be contacted via phone (970) 243-3061.Contact Information
Primary practice address
2373 G Rd Suite 200
Grand Junction CO 81505-9641
Phone: (970) 243-3061
Fax: (970) 245-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 330113 | Colorado |
Profile Details
| NPI number | 1760411995 |
|---|---|
| LBN Legal business name | Nishiya, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Mar 29th, 2016 - about 9 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 | 1760411995 | NPPES |
| Colorado | MEDICAID | 01330133 |
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