Foust, Mark Wayne

Foust, Mark Wayne is an sole proprietor health care provider with primary practice located at 1507 Ebenezer Rd , Rock Hill SC 29732. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Foust, Mark Wayne can be contacted via phone (803) 328-5400.

Contact Information

Primary practice address
1507 Ebenezer Rd Rock Hill SC 29732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 926 South Carolina

Profile Details

NPI number 1588647598
LBN Legal business name Foust, Mark Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Oct 30th, 2018 - about 8 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 1588647598 NPPES
South Carolina MEDICAID D09269

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