Hurst, Mark C.
Hurst, Mark C. is an sole proprietor health care provider with primary practice located at 4 Westwood Drive , Mt Vernon IL 62864. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hurst, Mark C. can be contacted via phone (618) 242-7810.Contact Information
Primary practice address
4 Westwood Drive
Mt Vernon IL 62864
Phone: (618) 242-7810
Fax: (618) 242-1867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007393 | Illinois |
Profile Details
| NPI number | 1912979311 |
|---|---|
| LBN Legal business name | Hurst, Mark C. |
| Credentials | OPTOMETRIST, LTD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912979311 | NPPES |
| Other | 0622930001 | ADMINASTAR FEDERAL | |
| Other | 1851561575 | ADMINASTAR FEDERAL | |
| Other | 410046689 | ADMINASTAR FEDERAL |
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