Marra, Joseph F.

Marra, Joseph F. is an sole proprietor health care provider with primary practice located at 400 Harding St , Clayton NM 88415-3339. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Ambulatory Health Care Facilities / Urgent Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Marra, Joseph F. can be contacted via phone (814) 943-6111.

Contact Information

Primary practice address
400 Harding St Clayton NM 88415-3339
Phone: (814) 943-6111
Fax: (914) 943-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP007906 Pennsylvania
Ambulatory Health Care Facilities / Urgent Care 261QU0200X SP007906 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01916 New Mexico

Profile Details

NPI number 1235190596
LBN Legal business name Marra, Joseph F.
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jan 28th, 2014 - about 10 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 1235190596 NPPES
Pennsylvania Other 571228130 DEVON
Pennsylvania Other 1015127860001 DEVON
Pennsylvania Other 1813844 DEVON
Pennsylvania MEDICAID 200515230A DEVON
Pennsylvania Other 57-122813 DEVON
Pennsylvania Other 57-1228130 DEVON
Pennsylvania MEDICAID 50706756 DEVON
Pennsylvania Other 571228130 DEVON

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