Mceathron, Mark George

Mceathron, Mark George is an individual health care provider with primary practice located at 411 E Magnolia St , Bellingham WA 98225-4510. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mceathron, Mark George can be contacted via phone (360) 647-2020.

Contact Information

Primary practice address
411 E Magnolia St Bellingham WA 98225-4510
Fax: (360) 752-1771
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1381 Washington

Profile Details

NPI number 1972595551
LBN Legal business name Mceathron, Mark George
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 15th, 2008 - about 16 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 1972595551 NPPES
Washington MEDICAID 2027548

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