Swain, Martika Shonta
Swain, Martika Shonta is an individual health care provider with primary practice located at 5850 Us Highway 431 # A , Albertville AL 35950-2048. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Swain, Martika Shonta can be contacted via phone (256) 878-0125.Contact Information
Primary practice address
5850 Us Highway 431 # A
Albertville AL 35950-2048
Phone: (256) 878-0125
Fax: (256) 878-0939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-D58-TA-A54 | Alabama |
Profile Details
| NPI number | 1154770725 |
|---|---|
| LBN Legal business name | Swain, Martika Shonta |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2016 |
| Last updated | Sep 20th, 2021 - about 5 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 | 1154770725 | NPPES |
| Alabama | MEDICAID | 219541 | |
| Alabama | MEDICAID | 219023 |
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