Mutter, Mark Wayne
Mutter, Mark Wayne is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mutter, Mark Wayne can be contacted via phone (406) 541-3937.Contact Information
Primary practice address
700 W Kent Ave
Missoula MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-3811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4079 | Montana |
Profile Details
| NPI number | 1023690757 |
|---|---|
| LBN Legal business name | Mutter, Mark Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2021 |
| Last updated | Dec 8th, 2023 - about 3 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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