Acquistapace, Marvin R.

Acquistapace, Marvin R. is an individual health care provider with primary practice located at 116 Minnie St , Fairbanks AK 99701-3006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Acquistapace, Marvin R. can be contacted via phone (907) 456-7760.

Contact Information

Primary practice address
116 Minnie St Fairbanks AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 451-7916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 222 Alaska

Profile Details

NPI number 1679678809
LBN Legal business name Acquistapace, Marvin R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 3rd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679678809 NPPES
Alaska MEDICAID OD0014
Alaska MEDICAID 1023203

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