Simonich, Marcus Andrew

Simonich, Marcus Andrew is an individual health care provider with primary practice located at 417 Main St Sw , Ronan MT 59864-2738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simonich, Marcus Andrew can be contacted via phone (406) 676-3937.

Contact Information

Primary practice address
417 Main St Sw Ronan MT 59864-2738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 807 Montana

Profile Details

NPI number 1497989396
LBN Legal business name Simonich, Marcus Andrew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2009
Last updated Apr 3rd, 2012 - about 14 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 1497989396 NPPES
Montana Other 807 LICENSE NUMBER FOR STATE OF MONTANA

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