Marroquin, Jose A
Marroquin, Jose A is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Marroquin, Jose A can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00273 | Oregon |
Profile Details
| NPI number | 1598712986 |
|---|---|
| LBN Legal business name | Marroquin, Jose A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Dec 14th, 2010 - about 15 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 | 1598712986 | NPPES |
| Oregon | Other | 1407812365 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | 161133 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | 050922005 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | 970002408 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | C105010 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | MD16946 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | 93-0635514 | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | R0000WFBTV | NBMC MAIN GROUP NPI NUMBER |
| Oregon | Other | 97420A003 | NBMC MAIN GROUP NPI NUMBER |
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