Noss, Mark D
Noss, Mark D is an individual health care provider with primary practice located at 328 Munson Ave , Traverse City MI 49686-3040. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Noss, Mark D can be contacted via phone (231) 946-8460.Contact Information
Primary practice address
328 Munson Ave
Traverse City MI 49686-3040
Phone: (231) 946-8460
Fax: (231) 946-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002760 | Michigan |
Profile Details
| NPI number | 1205814779 |
|---|---|
| LBN Legal business name | Noss, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Aug 3rd, 2011 - about 14 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 | 1205814779 | NPPES |
| Other | 900B865060 | BCBS | |
| MEDICAID | 945088450 | BCBS |
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