Mahan, Marcelle

Mahan, Marcelle is an sole proprietor health care provider with primary practice located at 2700 Dolbeer St , Eureka CA 95501-4736. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Mahan, Marcelle can be contacted via phone (707) 269-4250.

Contact Information

Primary practice address
2700 Dolbeer St Eureka CA 95501-4736
Phone: (707) 269-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G71860 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G078160 California

Profile Details

NPI number 1245292085
LBN Legal business name Mahan, Marcelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Mar 29th, 2021 - about 4 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 1245292085 NPPES
California MEDICAID 00G718600

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