Shadarevian, Marcar
Shadarevian, Marcar is an sole proprietor health care provider with primary practice located at 2837 Honolulu Ave. , Glendale CA 91214. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Shadarevian, Marcar can be contacted via phone (818) 244-5497.Contact Information
Primary practice address
2837 Honolulu Ave.
Glendale CA 91214
Phone: (818) 244-5497
Fax: (818) 244-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1790966760 |
|---|---|
| LBN Legal business name | Shadarevian, Marcar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2007 |
| Last updated | Dec 19th, 2022 - about 3 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 | 1790966760 | NPPES |
| California | MEDICAID | DME02448F |
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