Emmerich, Mark A

Emmerich, Mark A is an sole proprietor health care provider with primary practice located at 34 First Street East , Dickinson ND 58601-5106. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Emmerich, Mark A can be contacted via phone (701) 225-9601.

Contact Information

Primary practice address
34 First Street East Dickinson ND 58601-5106
Phone: (701) 225-9601
Fax: (701) 483-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 379 North Dakota

Profile Details

NPI number 1902864390
LBN Legal business name Emmerich, Mark A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 12th, 2012 - about 14 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 1902864390 NPPES
North Dakota Other 800379 NDVS
North Dakota Other 410004275 NDVS
North Dakota Other EMM8814 NDVS
North Dakota MEDICAID 60252 NDVS

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