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
Fax: (308) 384-7824
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588669121 NPPES
Nebraska MEDICAID NE865

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