Nizza, Mark Alexander
Nizza, Mark Alexander is an individual health care provider with primary practice located at 3367 Douglas Rd , South Bend IN 46635-1779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Nizza, Mark Alexander can be contacted via phone (574) 272-8823.Contact Information
Primary practice address
3367 Douglas Rd
South Bend IN 46635-1779
Phone: (574) 272-8823
Fax: (574) 277-1837
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 12013970A | Indiana |
Profile Details
NPI number | 1265921878 |
---|---|
LBN Legal business name | Nizza, Mark Alexander |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2018 |
Last updated | Aug 16th, 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.
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