Hay, Marshall Blake

Hay, Marshall Blake is an individual health care provider with primary practice located at 611 W. Park St. Radiology, Urbana IL 61801-2530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hay, Marshall Blake can be contacted via phone (217) 383-3270.

Contact Information

Primary practice address
611 W. Park St. Radiology Urbana IL 61801-2530
Phone: (217) 383-3270
Fax: (217) 383-4116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301061520 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036130848 Illinois

Profile Details

NPI number 1780683391
LBN Legal business name Hay, Marshall Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 15th, 2016 - about 8 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 1780683391 NPPES
Michigan MEDICAID 104363730
Michigan Other MH061520
Michigan Other 300128669
Michigan Other 11278282

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