Minix, Marcus S
Minix, Marcus S is an sole proprietor health care provider with primary practice located at 212 Glynview Plaza , Prestonsburg KY 41653. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Minix, Marcus S can be contacted via phone (606) 886-2154.Contact Information
Primary practice address
212 Glynview Plaza
Prestonsburg KY 41653
Phone: (606) 886-2154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | KY0407 | Kentucky |
Profile Details
| NPI number | 1487702403 |
|---|---|
| LBN Legal business name | Minix, Marcus S |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1487702403 | NPPES |
| Kentucky | MEDICAID | 52800265 | |
| Kentucky | MEDICAID | 52904075 | |
| Kentucky | MEDICAID | 77900702 | |
| Kentucky | Other | NPI1780685156 | |
| Kentucky | Other | NPI1215905393 | |
| Kentucky | MEDICAID | 77007342 |
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