Buehnerkemper, Mark Louis
Buehnerkemper, Mark Louis is an sole proprietor health care provider with primary practice located at 120 South Main Street , Lakeport CA 95453-5017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Buehnerkemper, Mark Louis can be contacted via phone (707) 263-4294.Contact Information
Primary practice address
120 South Main Street
Lakeport CA 95453-5017
Phone: (707) 263-4294
Fax: (707) 263-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10676 | California |
Profile Details
| NPI number | 1770694267 |
|---|---|
| LBN Legal business name | Buehnerkemper, Mark Louis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770694267 | NPPES |
| California | MEDICAID | SD0106760 1532330 |
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