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Contact Information

MARK D CHOUINARD, MD
1120 N 103RD PLZ
SUITE 100
OMAHA, NE68114-1114
 Phone: 402-391-5055
 Fax: 402-391-5053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK D CHOUINARD · (Male)

NPI # 1487615316
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 06/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 18631
  • IA Medicaid 1487615316
  • NE Medicaid 100264481-00
  • NE Medicaid 100264483-00
  • NE Medicaid 100264489-00
  • IA Other 1487615316 WELLMARK - RED OAK, IA LOCATION
Hospital affiliation(s)
  • FREMONT AREA MEDICAL CENTER - (Acute Care)
    450 EAST 23RD ST
    FREMONT, NE 68025
  • MEMORIAL COMMUNITY HOSPITAL - (Critical Access)
    810 NORTH 22ND ST
    BLAIR, NE 68008
  • MONTGOMERY COUNTY MEMORIAL HOSPITAL - (Critical Access)
    2301 EASTERN AVENUE
    RED OAK, IA 51566
  • THE NEBRASKA METHODIST HOSPITAL - (Acute Care)
    8303 DODGE ST
    OMAHA, NE 68114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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