Shirey, Mark Wade
Shirey, Mark Wade is an individual health care provider with primary practice located at 7921 Tanner Williams Rd Suite H, Mobile AL 36608-8312. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shirey, Mark Wade can be contacted via phone (251) 634-2144.Contact Information
Primary practice address
7921 Tanner Williams Rd Suite H
Mobile AL 36608-8312
Phone: (251) 634-2144
Fax: (251) 634-2145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-968-TA-542 | Alabama |
Profile Details
| NPI number | 1740274885 |
|---|---|
| LBN Legal business name | Shirey, Mark Wade |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Mar 7th, 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 | 1740274885 | NPPES |
| Alabama | Other | 51514440 | BCBS PROVIDER NUMBER |
| Alabama | Other | S-968-TA-542 | BCBS PROVIDER NUMBER |
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