Roy, Mark
Roy, Mark is an individual health care provider with primary practice located at 32090 23 Mile Rd , Chesterfield MI 48047-1901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roy, Mark can be contacted via phone (586) 725-5600.Contact Information
Primary practice address
32090 23 Mile Rd
Chesterfield MI 48047-1901
Phone: (586) 725-5600
Fax: (586) 725-6670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003127 | Michigan |
Profile Details
| NPI number | 1174572143 |
|---|---|
| LBN Legal business name | Roy, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174572143 | NPPES |
| Michigan | MEDICAID | 2879003 |
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