Bingham, Marshall Douglas

Bingham, Marshall Douglas is an individual health care provider with primary practice located at 1534 E Ray Rd Ste 104 , Gilbert AZ 85296-4429. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bingham, Marshall Douglas can be contacted via phone (480) 855-5542.

Contact Information

Primary practice address
1534 E Ray Rd Ste 104 Gilbert AZ 85296-4429
Phone: (480) 855-5542
Fax: (480) 855-5756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 13957 Arizona

Profile Details

NPI number 1871142893
LBN Legal business name Bingham, Marshall Douglas
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Sep 11th, 2019 - about 6 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 1871142893 NPPES
Arizona Other 13957 PTA STATE LLICENCE

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