Curtis, Mark D
Curtis, Mark D is an individual health care provider with primary practice located at 608 N Maguire St , Warrensburg MO 64093-1420. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Curtis, Mark D can be contacted via phone (660) 747-7300.Contact Information
Primary practice address
608 N Maguire St
Warrensburg MO 64093-1420
Phone: (660) 747-7300
Fax: (660) 747-5322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO3302 | Missouri |
Profile Details
| NPI number | 1700840378 |
|---|---|
| LBN Legal business name | Curtis, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 4th, 2022 - about 2 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 | 1700840378 | NPPES |
| Missouri | MEDICAID | 318501525 | |
| Missouri | Other | 04580012 | |
| Missouri | Other | 24093011 |
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