Mustard, Robert Martin
Mustard, Robert Martin is an sole proprietor health care provider with primary practice located at 210 1/2 North Street , Bluefield WV 24701. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mustard, Robert Martin can be contacted via phone (304) 887-4072.Contact Information
Primary practice address
210 1/2 North Street
Bluefield WV 24701
Phone: (304) 887-4072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1101002699 | Virginia |
Profile Details
| NPI number | 1629257522 |
|---|---|
| LBN Legal business name | Mustard, Robert Martin |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Oct 26th, 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 | 1629257522 | NPPES |
| West Virginia | MEDICAID | 3810009447 |
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