Harder, Mark Henry
Harder, Mark Henry is an sole proprietor health care provider with primary practice located at 501 E Orangeburg Ave Ste B , Modesto CA 95350. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harder, Mark Henry can be contacted via phone (209) 596-4360.Contact Information
Primary practice address
501 E Orangeburg Ave Ste B
Modesto CA 95350
Phone: (209) 596-4360
Fax: (209) 566-0685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CA07481T | California |
Profile Details
| NPI number | 1093787459 |
|---|---|
| LBN Legal business name | Harder, Mark Henry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1093787459 | NPPES |
| California | MEDICAID | SD0074810 | |
| California | MEDICAID | 1093787459 |
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