O'Mary, Marcus Wade

O'Mary, Marcus Wade is an sole proprietor health care provider with primary practice located at 301 22Nd Ave E , Jasper AL 35501-4023. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. O'Mary, Marcus Wade can be contacted via phone (205) 384-5358.

Contact Information

Primary practice address
301 22Nd Ave E Jasper AL 35501-4023
Phone: (205) 384-5358
Fax: (205) 384-5360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1152 Alabama

Profile Details

NPI number 1720063621
LBN Legal business name O'Mary, Marcus Wade
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Oct 22nd, 2013 - about 13 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 1720063621 NPPES
Alabama Other 051523516 BCBS PROVIDER NUMBER

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