Wyman, Marty J
Wyman, Marty J is an individual health care provider with primary practice located at 625 Baltimore Blvd , Westminster MD 21157-6178. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wyman, Marty J can be contacted via phone (410) 848-5442.Contact Information
Primary practice address
625 Baltimore Blvd
Westminster MD 21157-6178
Phone: (410) 848-5442
Fax: (410) 848-5578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA808 | Maryland |
Profile Details
| NPI number | 1164522264 |
|---|---|
| LBN Legal business name | Wyman, Marty J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jan 31st, 2018 - about 6 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 | 1164522264 | NPPES |
| Maryland | Other | XY26 | BLUE CROSS BLUE SHIELD |
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