Herron, Mark
Herron, Mark is an sole proprietor health care provider with primary practice located at 250 Granite St Ste 2069 , Braintree MA 02184-2804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Herron, Mark can be contacted via phone (781) 849-9944.Contact Information
Primary practice address
250 Granite St Ste 2069
Braintree MA 02184-2804
Phone: (781) 849-9944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5619 | Massachusetts |
Profile Details
| NPI number | 1952092314 |
|---|---|
| LBN Legal business name | Herron, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2023 |
| Last updated | Jul 25th, 2024 - about 2 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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