Maraman, Mark Allen
Maraman, Mark Allen is an individual health care provider with primary practice located at 2517 Ne Kresky Ave , Chehalis WA 98532-2409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maraman, Mark Allen can be contacted via phone (360) 748-8632.Contact Information
Primary practice address
2517 Ne Kresky Ave
Chehalis WA 98532-2409
Phone: (360) 748-8632
Fax: (360) 748-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00004142 | Washington |
Profile Details
| NPI number | 1457559072 |
|---|---|
| LBN Legal business name | Maraman, Mark Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 18th, 2022 - about 3 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 | 1457559072 | NPPES |
| Washington | MEDICAID | 1091820 |
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