Marley, Michael

Marley, Michael is an sole proprietor health care provider with primary practice located at 5979 Desert Storm Ave , Fort Campbell KY 42223-5514. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Marley, Michael can be contacted via phone (270) 412-0061.

Contact Information

Primary practice address
5979 Desert Storm Ave Fort Campbell KY 42223-5514
Phone: (270) 412-0061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00404600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 020233 New York

Profile Details

NPI number 1205382744
LBN Legal business name Marley, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2016
Last updated Dec 19th, 2018 - about 6 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.

Request for update

Popular Providers