Henry, Mark David
Henry, Mark David is an individual health care provider with primary practice located at 784 E Main St Ste D , Lancaster OH 43130-3983. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henry, Mark David can be contacted via phone (740) 654-9909.Contact Information
Primary practice address
784 E Main St Ste D
Lancaster OH 43130-3983
Phone: (740) 654-9909
Fax: (740) 654-9969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4713-T1502 | Ohio |
Profile Details
| NPI number | 1275527467 |
|---|---|
| LBN Legal business name | Henry, Mark David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Oct 23rd, 2017 - about 7 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 | 1275527467 | NPPES |
| Ohio | MEDICAID | 2197251 |
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