Marie, David R
Marie, David R is an individual health care provider with primary practice located at 824 Illinois Avenue , Stevens Point WI 54481. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Marie, David R can be contacted via phone (715) 342-7500.Contact Information
Primary practice address
824 Illinois Avenue
Stevens Point WI 54481
Phone: (715) 342-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 106 | Wisconsin |
Profile Details
| NPI number | 1316082688 |
|---|---|
| LBN Legal business name | Marie, David R |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | May 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316082688 | NPPES |
| Wisconsin | MEDICAID | 42900500 |
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