Marcellino, Thomas R.

Marcellino, Thomas R. is an individual health care provider with primary practice located at 6265 Rock Chalk Dr Suite 1100, Lawrence KS 66049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marcellino, Thomas R. can be contacted via phone (785) 842-5070.

Contact Information

Primary practice address
6265 Rock Chalk Dr Suite 1100 Lawrence KS 66049
Phone: (785) 842-5070
Fax: (785) 505-5264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-32383 Kansas

Profile Details

NPI number 1134109663
LBN Legal business name Marcellino, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 16th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134109663 NPPES
Kansas MEDICAID 200550800B

Popular Providers