Marcev, John Randolph
Marcev, John Randolph is an individual health care provider with primary practice located at 6117 U S Highway 98 Suite 20, Hattiesburg MS 39402-8654. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marcev, John Randolph can be contacted via phone (601) 264-2006.Contact Information
Primary practice address
6117 U S Highway 98 Suite 20
Hattiesburg MS 39402-8654
Phone: (601) 264-2006
Fax: (601) 264-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 690 | Mississippi |
Profile Details
| NPI number | 1750333555 |
|---|---|
| LBN Legal business name | Marcev, John Randolph |
| Credentials | M.S., O.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 20th, 2019 - about 7 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 | 1750333555 | NPPES |
| Mississippi | MEDICAID | 03951894 |
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