Shirley, Mark Edward
Shirley, Mark Edward is an individual health care provider with primary practice located at 810 N 22Nd St , Blair NE 68008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Shirley, Mark Edward can be contacted via phone (402) 426-2182.Contact Information
Primary practice address
810 N 22Nd St
Blair NE 68008
Phone: (402) 426-2182
Fax: (402) 426-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 179 | Nebraska |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 179 | Nebraska |
Profile Details
| NPI number | 1578504528 |
|---|---|
| LBN Legal business name | Shirley, Mark Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 23rd, 2018 - about 7 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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