Marshall, Jon Barry
Marshall, Jon Barry is an sole proprietor health care provider with primary practice located at 450 E Pass Rd Ste 9 , Gulfport MS 39507-3212. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Marshall, Jon Barry can be contacted via phone (228) 896-8619.Contact Information
Primary practice address
450 E Pass Rd Ste 9
Gulfport MS 39507-3212
Phone: (228) 896-8619
Fax: (228) 896-8619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 482 | Mississippi |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 482 | Mississippi |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 482 | Mississippi |
Profile Details
| NPI number | 1245386481 |
|---|---|
| LBN Legal business name | Marshall, Jon Barry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | May 28th, 2008 - about 17 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 | 1245386481 | NPPES |
| Mississippi | MEDICAID | 00087901 |
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