Yoder, Mark Alan
Yoder, Mark Alan is an sole proprietor health care provider with primary practice located at 107 N Main St , Bluffton OH 45817-1245. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Yoder, Mark Alan can be contacted via phone (419) 358-6076.Contact Information
Primary practice address
107 N Main St
Bluffton OH 45817-1245
Phone: (419) 358-6076
Fax: (419) 358-7736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4155 | Ohio |
Profile Details
| NPI number | 1417042201 |
|---|---|
| LBN Legal business name | Yoder, Mark Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 17th, 2008 - about 17 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 | 1417042201 | NPPES |
| Ohio | MEDICAID | 0743664 | |
| Ohio | Other | 18008277 | |
| Ohio | Other | CC0091 |
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