Acker Ezell, Marilynn

Acker Ezell, Marilynn is an sole proprietor health care provider with primary practice located at 121 Main Street , Jaffrey NH 03452-6140. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Acker Ezell, Marilynn can be contacted via phone (603) 532-8835.

Contact Information

Primary practice address
121 Main Street Jaffrey NH 03452-6140
Phone: (603) 532-8835
Fax: (603) 532-7045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0372 New Hampshire
Eye and Vision Services Providers / Optometrist 152W00000X NH0372 New Hampshire

Profile Details

NPI number 1194799379
LBN Legal business name Acker Ezell, Marilynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Dec 8th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194799379 NPPES
New Hampshire MEDICAID 30351489

Popular Providers