Nunnally, Mark E

Nunnally, Mark E is an individual health care provider with primary practice located at 560 1St Ave , New York NY 10016-6402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Nunnally, Mark E can be contacted via phone (212) 263-5072.

Contact Information

Primary practice address
560 1St Ave New York NY 10016-6402
Phone: (212) 263-5072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036104037 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 036104037 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 282823 New York

Profile Details

NPI number 1144385360
LBN Legal business name Nunnally, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 17th, 2024 - about 6 months 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 1144385360 NPPES
Illinois MEDICAID 036104037

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