Charles, Marcelin

Charles, Marcelin is an individual health care provider with primary practice located at 691 Murphy Rd Suite 107, Medford OR 97504-4346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Charles, Marcelin can be contacted via phone (541) 789-6460.

Contact Information

Primary practice address
691 Murphy Rd Suite 107 Medford OR 97504-4346
Phone: (541) 789-6460
Fax: (541) 789-6461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD26819 Oregon

Profile Details

NPI number 1598726838
LBN Legal business name Charles, Marcelin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 2nd, 2013 - about 12 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 1598726838 NPPES
Oregon MEDICAID 240547

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