Marcelo, Jesus N

Marcelo, Jesus N is an individual health care provider with primary practice located at 829 Goethals Dr , Richland WA 99352-3529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Marcelo, Jesus N can be contacted via phone (509) 547-2204.

Contact Information

Primary practice address
829 Goethals Dr Richland WA 99352-3529
Phone: (509) 547-2204
Fax: (509) 542-8836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00039738 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD00039738 Washington

Profile Details

NPI number 1457331159
LBN Legal business name Marcelo, Jesus N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 13th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457331159 NPPES
Washington MEDICAID 8327611

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