Blackledge, Mark Allan
Blackledge, Mark Allan is an individual health care provider with primary practice located at 5107 N Belt Hwy Ste Y107 , Saint Joseph MO 64506-1280. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blackledge, Mark Allan can be contacted via phone (308) 530-6666.Contact Information
Primary practice address
5107 N Belt Hwy Ste Y107
Saint Joseph MO 64506-1280
Phone: (308) 530-6666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 953 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2015007758 | Missouri |
Profile Details
| NPI number | 1679521397 |
|---|---|
| LBN Legal business name | Blackledge, Mark Allan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 12th, 2018 - about 6 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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