Marquez, Ma Theresa Charisse

Marquez, Ma Theresa Charisse is an individual health care provider with primary practice located at 2615 E Clinton Ave , Fresno CA 93703-2223. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Marquez, Ma Theresa Charisse can be contacted via phone (558) 229-5610.

Contact Information

Primary practice address
2615 E Clinton Ave Fresno CA 93703-2223
Phone: (558) 229-5610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X Y7825877 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 060-0004725 Vermont
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Y7825877 California

Profile Details

NPI number 1598870859
LBN Legal business name Marquez, Ma Theresa Charisse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 16th, 2022 - about 2 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 1598870859 NPPES
New Hampshire MEDICAID 3077020

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