Iverson, Mark
Iverson, Mark is an sole proprietor health care provider with primary practice located at 81 River St Suite 204, Montpelier VT 05602-3792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Iverson, Mark can be contacted via phone (802) 229-9554.Contact Information
Primary practice address
81 River St Suite 204
Montpelier VT 05602-3792
Phone: (802) 229-9554
Fax: (802) 229-5906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 042.0007517 | Vermont |
Profile Details
| NPI number | 1003878349 |
|---|---|
| LBN Legal business name | Iverson, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 3rd, 2016 - about 8 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 | 1003878349 | NPPES |
| Vermont | MEDICAID | 0009051 |
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