White, Mark S
White, Mark S is an sole proprietor health care provider with primary practice located at 1002 N Us 27 , Saint Johns MI 48879-1129. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. White, Mark S can be contacted via phone (989) 224-3937.Contact Information
Primary practice address
1002 N Us 27
Saint Johns MI 48879-1129
Phone: (989) 224-3937
Fax: (989) 224-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002542 | Michigan |
Profile Details
| NPI number | 1962491902 |
|---|---|
| LBN Legal business name | White, Mark S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Aug 11th, 2011 - about 13 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 | 1962491902 | NPPES |
| Michigan | MEDICAID | 4294310 |
Popular Providers
-
Peters, David L.
611 W State St , Saint Johns MI 48879-1451 -
Rademacher, Richard W.
717 Columbia Ave , Saint Joseph MI 49085-2457 -
Peters, Zachary B
1002 N Us Highway 27 , Saint Johns MI 48879-1129 -
Peters, Edward
1002 Old U.S. 27 , St. Johns MI 48879 -
Tolsma, Duane Allen
2848 Niles Rd , Saint Joseph MI 49085-3352 -
Tolen, Kathleen Marie
1102 S 7Th St Apt 2 , Saint Clair MI 48079-5044 -
Dudley, Daniel A
2904 Division St , Saint Joseph MI 49085-2437 -
Peters, Edward A
1002 N Us 27 , Saint Johns MI 48879-1129