Coble, Mark G.
Coble, Mark G. is an sole proprietor health care provider with primary practice located at 9501 State Ave Suite 2, Kansas City KS 66111-1872. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coble, Mark G. can be contacted via phone (913) 299-7200.Contact Information
Primary practice address
9501 State Ave Suite 2
Kansas City KS 66111-1872
Phone: (913) 299-7200
Fax: (913) 334-4551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1098-3 | Kansas |
Profile Details
| NPI number | 1053307702 |
|---|---|
| LBN Legal business name | Coble, Mark G. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 17th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053307702 | NPPES |
| Kansas | Other | 09088023 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
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