Carpenter, Martin Wayne
Carpenter, Martin Wayne is an sole proprietor health care provider with primary practice located at 709 Morgantown Ave , Fairmont WV 26554-4331. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carpenter, Martin Wayne can be contacted via phone (304) 366-4721.Contact Information
Primary practice address
709 Morgantown Ave
Fairmont WV 26554-4331
Phone: (304) 366-4721
Fax: (304) 366-4847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1013-00 | West Virginia |
Profile Details
| NPI number | 1417956210 |
|---|---|
| LBN Legal business name | Carpenter, Martin Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Dec 17th, 2009 - about 16 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 | 1417956210 | NPPES |
| West Virginia | MEDICAID | 3101032000 |
Popular Providers
-
Laughlin, C David
405 Locust Ave , Fairmont WV 26554-4717 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Wade, J Keith
405 Locust Ave , Fairmont WV 26554-4717 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Moon, Stephen L
1322 Locust Ave , Fairmont WV 26554-1436