Abbott, Marvin Paul

Abbott, Marvin Paul is an sole proprietor health care provider with primary practice located at 4902 Hazel Ave , Fair Oaks CA 95628-6533. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Abbott, Marvin Paul can be contacted via phone (916) 967-1400.

Contact Information

Primary practice address
4902 Hazel Ave Fair Oaks CA 95628-6533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC10170 California

Profile Details

NPI number 1902014269
LBN Legal business name Abbott, Marvin Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1902014269 NPPES
California MEDICAID 0101700
California Other 0101700

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