Marsh, Queen A

Marsh, Queen A is an individual health care provider with primary practice located at 6920 Indianapolis Boulevard , Hammond IN 46324-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Marsh, Queen A can be contacted via phone (219) 763-8112.

Contact Information

Primary practice address
6920 Indianapolis Boulevard Hammond IN 46324-1150
Phone: (219) 763-8112
Fax: (219) 764-3251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036066269 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01065023A Indiana

Profile Details

NPI number 1659463859
LBN Legal business name Marsh, Queen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 14th, 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 1659463859 NPPES
Indiana MEDICAID 200890060

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