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
Phone: (858) 626-6109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063474039 | NPPES |
| California | MEDICAID | 00G315990 |
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