Marceau, Michael
Marceau, Michael is an individual health care provider with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Marceau, Michael can be contacted via phone (570) 320-7525.Contact Information
Primary practice address
1100 Grampian Blvd
Williamsport PA 17701-1909
Phone: (570) 320-7525
Fax: (570) 320-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD041583E | Pennsylvania |
Profile Details
| NPI number | 1770545170 |
|---|---|
| LBN Legal business name | Marceau, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Feb 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770545170 | NPPES |
| Pennsylvania | Other | 224146 | VALUE OPTIONS |
| Pennsylvania | Other | 807821 | VALUE OPTIONS |
| Pennsylvania | Other | 855218 | VALUE OPTIONS |
| Pennsylvania | MEDICAID | 0015691220002 | VALUE OPTIONS |
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