Belcher, Mary Anne

Belcher, Mary Anne is an sole proprietor health care provider with primary practice located at 20 Spring Ave , Elkhorn City KY 41522. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Belcher, Mary Anne can be contacted via phone (606) 754-5775.

Contact Information

Primary practice address
20 Spring Ave Elkhorn City KY 41522
Fax: (606) 754-5775
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1059DT Kentucky

Profile Details

NPI number 1770633018
LBN Legal business name Belcher, Mary Anne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Mar 4th, 2015 - 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 1770633018 NPPES
Kentucky Other 000000185534 ANTHEM BC BS
Kentucky Other 410046162 ANTHEM BC BS
Kentucky MEDICAID 77010593 ANTHEM BC BS

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