James, Marshall Edward

James, Marshall Edward is an individual health care provider with primary practice located at 20180 S Lagrange Rd , Frankfort IL 60423-3153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. James, Marshall Edward can be contacted via phone (815) 464-2010.

Contact Information

Primary practice address
20180 S Lagrange Rd Frankfort IL 60423-3153
Fax: (815) 464-2181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036103915 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103915 Illinois

Profile Details

NPI number 1134179963
LBN Legal business name James, Marshall Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 18th, 2018 - about 7 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 1134179963 NPPES
Illinois MEDICAID 036103915

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