Etlinger, Marlene Hermann

Etlinger, Marlene Hermann is an individual health care provider with primary practice located at 30 Hagen Dr Suite 300, Rochester NY 14625-2658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Etlinger, Marlene Hermann can be contacted via phone (585) 381-1440.

Contact Information

Primary practice address
30 Hagen Dr Suite 300 Rochester NY 14625-2658
Phone: (585) 381-1440
Fax: (585) 586-9108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005318 New York

Profile Details

NPI number 1275502718
LBN Legal business name Etlinger, Marlene Hermann
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
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 1275502718 NPPES
New York Other 108960BJ PREFERRED CARE

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