Kane, Marshall

Kane, Marshall is an individual health care provider with primary practice located at Humboldt Unified School District #22 Special Srvcs Ofic 8766 East Hwy 69, Prescott Valley AZ 86314. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kane, Marshall can be contacted via phone (928) 759-4028.

Contact Information

Primary practice address
Humboldt Unified School District #22 Special Srvcs Ofic 8766 East Hwy 69 Prescott Valley AZ 86314
Phone: (928) 759-4028
Fax: (928) 759-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1885 Arizona

Profile Details

NPI number 1538204276
LBN Legal business name Kane, Marshall
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
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 1538204276 NPPES
Arizona MEDICAID 579550

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