Marcoux, David Keith

Marcoux, David Keith is an individual health care provider with primary practice located at 600 Casson Hill Rd , Fort Riley KS 66442-7037. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Marcoux, David Keith can be contacted via phone (785) 239-7155.

Contact Information

Primary practice address
600 Casson Hill Rd Fort Riley KS 66442-7037
Phone: (785) 239-7155
Fax: (740) 687-9059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50001064 Ohio

Profile Details

NPI number 1497977607
LBN Legal business name Marcoux, David Keith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 3rd, 2008 - about 17 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 1497977607 NPPES
Ohio Other 50001064 OHIO PA MEDICAL LICENSE

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