Stines, Mark H
Stines, Mark H is an individual health care provider with primary practice located at 401 N Eddy St , Grand Island NE 68801-4558. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stines, Mark H can be contacted via phone (308) 384-6922.Contact Information
Primary practice address
401 N Eddy St
Grand Island NE 68801-4558
Phone: (308) 384-6922
Fax: (308) 384-7824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 865 | Nebraska |
Profile Details
| NPI number | 1588669121 |
|---|---|
| LBN Legal business name | Stines, Mark H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 2nd, 2010 - about 14 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 | 1588669121 | NPPES |
| Nebraska | MEDICAID | NE865 |
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