Marino, John R

Marino, John R is an individual health care provider with primary practice located at 3510 Highway 17 Byp N Ste 220 , Mt Pleasant SC 29466-8245. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Marino, John R can be contacted via phone (843) 853-3474.

Contact Information

Primary practice address
3510 Highway 17 Byp N Ste 220 Mt Pleasant SC 29466-8245
Phone: (843) 853-3474
Fax: (843) 853-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 131 South Carolina

Profile Details

NPI number 1346240579
LBN Legal business name Marino, John R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 28th, 2019 - about 5 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 1346240579 NPPES
South Carolina MEDICAID PD1313
South Carolina Other P00832519

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