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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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