Hurst, Mark C.

Hurst, Mark C. is an sole proprietor health care provider with primary practice located at 4 Westwood Drive , Mt Vernon IL 62864. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hurst, Mark C. can be contacted via phone (618) 242-7810.

Contact Information

Primary practice address
4 Westwood Drive Mt Vernon IL 62864
Phone: (618) 242-7810
Fax: (618) 242-1867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007393 Illinois

Profile Details

NPI number 1912979311
LBN Legal business name Hurst, Mark C.
Credentials OPTOMETRIST, LTD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Jun 16th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912979311 NPPES
Other 0622930001 ADMINASTAR FEDERAL
Other 1851561575 ADMINASTAR FEDERAL
Other 410046689 ADMINASTAR FEDERAL

Popular Providers