Marmorstein, Jonathan
Marmorstein, Jonathan is an individual health care provider with primary practice located at 1703 Country Club Rd Suite 204, Jacksonville NC 28546-6006. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marmorstein, Jonathan can be contacted via phone (910) 347-3010.Contact Information
Primary practice address
1703 Country Club Rd Suite 204
Jacksonville NC 28546-6006
Phone: (910) 347-3010
Fax: (910) 347-3201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3318 | North Carolina |
Profile Details
| NPI number | 1184783722 |
|---|---|
| LBN Legal business name | Marmorstein, Jonathan |
| Credentials | MA, LPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | May 9th, 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 | 1184783722 | NPPES |
| North Carolina | Other | 068AF | BC/BS |
| North Carolina | MEDICAID | 6107479 | BC/BS |
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