Marsh, Mary Lou

Marsh, Mary Lou is an sole proprietor health care provider with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Marsh, Mary Lou can be contacted via phone (858) 626-6109.

Contact Information

Primary practice address
9888 Genesee Ave La Jolla CA 92037-1276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G31599 California

Profile Details

NPI number 1063474039
LBN Legal business name Marsh, Mary Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Apr 11th, 2008 - about 16 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 1063474039 NPPES
California MEDICAID 00G315990

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