Boas, Mark Brian

Boas, Mark Brian is an individual health care provider with primary practice located at 577 W Uwchlan Ave , Exton PA 19341-1563. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boas, Mark Brian can be contacted via phone (610) 363-2303.

Contact Information

Primary practice address
577 W Uwchlan Ave Exton PA 19341-1563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001120 Pennsylvania

Profile Details

NPI number 1437269487
LBN Legal business name Boas, Mark Brian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 29th, 2012 - about 12 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 1437269487 NPPES
Pennsylvania Other 428694 BLUE SHIELD
Pennsylvania Other 2814726 BLUE SHIELD
Pennsylvania Other 51940 BLUE SHIELD

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