Marler, Philip Wayne
Marler, Philip Wayne is an sole proprietor health care provider with primary practice located at 201 Hwy 16 E , Carthage MS 39051. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Marler, Philip Wayne can be contacted via phone (601) 267-9351.Contact Information
Primary practice address
201 Hwy 16 E
Carthage MS 39051
Phone: (601) 267-9351
Fax: (601) 267-9004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 605 | Mississippi |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 605 | Mississippi |
Profile Details
| NPI number | 1831181437 |
|---|---|
| LBN Legal business name | Marler, Philip Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 6th, 2011 - about 15 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 | 1831181437 | NPPES |
| Mississippi | Other | 5196240001 | DMERC NUMBER |
| Mississippi | Other | P00079224 | DMERC NUMBER |
| Mississippi | MEDICAID | 00880054 | DMERC NUMBER |
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