Allyn, Roger Marvin

Allyn, Roger Marvin is an sole proprietor health care provider with primary practice located at 1170 Hwy 170 , La Plata NM 87418-0269. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Allyn, Roger Marvin can be contacted via phone (505) 325-2472.

Contact Information

Primary practice address
1170 Hwy 170 La Plata NM 87418-0269
Phone: (505) 325-2472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2219 OP New Mexico

Profile Details

NPI number 1093979874
LBN Legal business name Allyn, Roger Marvin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - about 18 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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