Wisney, Mark

Wisney, Mark is an individual health care provider with primary practice located at 940 E 8Th St , Traverse City MI 49686-2893. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wisney, Mark can be contacted via phone (231) 922-4810.

Contact Information

Primary practice address
940 E 8Th St Traverse City MI 49686-2893
Phone: (231) 922-4810
Fax: (231) 929-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704184547 Michigan
Nursing Service Providers / Case Management 163WC0400X 4704184547 Michigan

Profile Details

NPI number 1184078602
LBN Legal business name Wisney, Mark
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Apr 21st, 2016 - about 9 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 1184078602 NPPES
Michigan MEDICAID 1184087272
Michigan MEDICAID 1629431713

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