Markeson, Greg B

Markeson, Greg B is an sole proprietor health care provider with primary practice located at 1750 Robert St S , West St Paul MN 55118-3919. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Markeson, Greg B can be contacted via phone (651) 306-0412.

Contact Information

Primary practice address
1750 Robert St S West St Paul MN 55118-3919
Fax: (651) 306-0414
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2557 Minnesota

Profile Details

NPI number 1205917473
LBN Legal business name Markeson, Greg B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Oct 15th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205917473 NPPES
Minnesota MEDICAID 020722500

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