Scott Marker, Breanna Jo
Scott Marker, Breanna Jo is an sole proprietor health care provider with primary practice located at 518 Franklin St , Pella IA 50219-1636. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Scott Marker, Breanna Jo can be contacted via phone (641) 628-2023.Contact Information
Primary practice address
518 Franklin St
Pella IA 50219-1636
Phone: (641) 628-2023
Fax: (641) 628-2031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 096551 | Iowa |
Profile Details
| NPI number | 1104487966 |
|---|---|
| LBN Legal business name | Scott Marker, Breanna Jo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104487966 | NPPES |
| Iowa | Other | 096551 | LICENSE |
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