Marshall, John Bryan
Marshall, John Bryan is an individual health care provider with primary practice located at 11312 Us 15-501 North Ste. 304, Chapel Hill NC 27517-6376. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marshall, John Bryan can be contacted via phone (919) 933-6767.Contact Information
Primary practice address
11312 Us 15-501 North Ste. 304
Chapel Hill NC 27517-6376
Phone: (919) 933-6767
Fax: (919) 933-6732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1551 | North Carolina |
Profile Details
| NPI number | 1104972116 |
|---|---|
| LBN Legal business name | Marshall, John Bryan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 7th, 2015 - about 10 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 | 1104972116 | NPPES |
| North Carolina | MEDICAID | 8909104 |
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