Medley, Mark Joseph
Medley, Mark Joseph is an individual health care provider with primary practice located at Usa Meddac Fort Drum 11050 Mt. Belvedere Blvd., Fort Drum NY 13602. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Medley, Mark Joseph can be contacted via phone (315) 772-2778.Contact Information
Primary practice address
Usa Meddac Fort Drum 11050 Mt. Belvedere Blvd.
Fort Drum NY 13602
Phone: (315) 772-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2987 | Tennessee |
Profile Details
| NPI number | 1124306279 |
|---|---|
| LBN Legal business name | Medley, Mark Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2011 |
| Last updated | Jul 25th, 2023 - about last year |
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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