Marshak, Jeffrey Ellis
Marshak, Jeffrey Ellis is an sole proprietor health care provider with primary practice located at 390 N Sepulveda Blvd Suite# 1100, El Segundo CA 90245-4475. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marshak, Jeffrey Ellis can be contacted via phone (310) 641-1700.Contact Information
Primary practice address
390 N Sepulveda Blvd Suite# 1100
El Segundo CA 90245-4475
Phone: (310) 641-1700
Fax: (310) 535-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 5564 TPL | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5564T | California |
Profile Details
| NPI number | 1225165590 |
|---|---|
| LBN Legal business name | Marshak, Jeffrey Ellis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 12th, 2012 - about 13 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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