Ziebarth, Mark James

Ziebarth, Mark James is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ziebarth, Mark James can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2295 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0820659 Minnesota

Profile Details

NPI number 1336102763
LBN Legal business name Ziebarth, Mark James
Credentials PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 30th, 2013 - about 11 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 1336102763 NPPES
Minnesota Other 1011796 PREFERRED ONE
Minnesota Other HP25418 PREFERRED ONE
Minnesota Other 641K1ZI PREFERRED ONE
Minnesota MEDICAID 816750801 PREFERRED ONE
Minnesota Other 8363352 PREFERRED ONE
Minnesota Other 990991011796 PREFERRED ONE
Minnesota Other 208M0Z1 PREFERRED ONE
Minnesota Other 6267250 PREFERRED ONE
Minnesota Other 890001087 PREFERRED ONE
Minnesota Other 167750 PREFERRED ONE

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