Marshak, Joan Grode
Marshak, Joan Grode is an individual health care provider with primary practice located at 4600 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Marshak, Joan Grode can be contacted via phone (337) 521-9113.Contact Information
Primary practice address
4600 Ambassador Caffery Pkwy
Lafayette LA 70508-6902
Phone: (337) 521-9113
Fax: (337) 261-2697
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 06781R | Louisiana |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 06781R | Louisiana |
Profile Details
NPI number | 1285635508 |
---|---|
LBN Legal business name | Marshak, Joan Grode |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Feb 3rd, 2012 - about 13 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 | 1285635508 | NPPES |
Louisiana | MEDICAID | 1358843 |
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