Kimball, Marc E
Kimball, Marc E is an individual health care provider with primary practice located at 2001 N Jefferson Ave Suite 300, Mount Pleasant TX 75455-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kimball, Marc E can be contacted via phone (903) 572-9823.Contact Information
Primary practice address
2001 N Jefferson Ave Suite 300
Mount Pleasant TX 75455-2371
Phone: (903) 572-9823
Fax: (903) 572-4812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J1709 | Texas |
Profile Details
| NPI number | 1407843402 |
|---|---|
| LBN Legal business name | Kimball, Marc E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407843402 | NPPES |
| Texas | MEDICAID | 130955102 |
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