Marino, John D

Marino, John D is an individual health care provider with primary practice located at 1585 S Range Ave , Denham Springs LA 70726-5201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Marino, John D can be contacted via phone (225) 791-0002.

Contact Information

Primary practice address
1585 S Range Ave Denham Springs LA 70726-5201
Phone: (225) 791-0002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 05610 APRN Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 100696 RN Louisiana

Profile Details

NPI number 1962647610
LBN Legal business name Marino, John D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Nov 16th, 2011 - about 14 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 1962647610 NPPES
Louisiana MEDICAID 1799190
Louisiana Other P00913286

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