Marcum, Gregory Alan

Marcum, Gregory Alan is an individual health care provider with primary practice located at 1311 N Dixie Hwy , Elizabethtown KY 42701-2621. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Marcum, Gregory Alan can be contacted via phone (270) 769-1304.

Contact Information

Primary practice address
1311 N Dixie Hwy Elizabethtown KY 42701-2621
Phone: (270) 769-1304
Fax: (270) 234-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164648739
LBN Legal business name Marcum, Gregory Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 18 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 1164648739 NPPES
Kentucky MEDICAID 30605018

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