Markham, John R
Markham, John R is an sole proprietor health care provider with primary practice located at 1680 Willow Creek Rd , Prescott AZ 86301-1108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Markham, John R can be contacted via phone (928) 778-3950.Contact Information
Primary practice address
1680 Willow Creek Rd
Prescott AZ 86301-1108
Phone: (928) 778-3950
Fax: (928) 778-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 142 | Arizona |
Profile Details
| NPI number | 1225094550 |
|---|---|
| LBN Legal business name | Markham, John R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 20th, 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 | 1225094550 | NPPES |
| Arizona | MEDICAID | 033176 | |
| Arizona | Other | 153165 | |
| Arizona | Other | 5858351 | |
| Arizona | Other | 033176 | |
| Arizona | Other | 866291-9714 | |
| Arizona | Other | 1263119 | |
| Arizona | Other | Z63118 | |
| Arizona | Other | AZ0142 | |
| Arizona | Other | 15220 | |
| Arizona | Other | AZ0142 | |
| Arizona | Other | AZ01170 | |
| Arizona | Other | DM2NNP | |
| Arizona | Other | 3Z0277 | |
| Arizona | Other | NNP12599 |
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