Jeppesen, Mark H
Jeppesen, Mark H is an individual health care provider with primary practice located at 2020 3Rd Ave Nw , Waverly IA 50677-2065. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jeppesen, Mark H can be contacted via phone (319) 352-3490.Contact Information
Primary practice address
2020 3Rd Ave Nw
Waverly IA 50677-2065
Phone: (319) 352-3490
Fax: (319) 352-0468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 02199 | Iowa |
Profile Details
| NPI number | 1033101845 |
|---|---|
| LBN Legal business name | Jeppesen, Mark H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | May 13th, 2015 - about 9 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 | 1033101845 | NPPES |
| Iowa | MEDICAID | 1245969 |
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