Marshall, Carolyn Marie
Marshall, Carolyn Marie is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Marshall, Carolyn Marie can be contacted via phone (606) 638-0938.Contact Information
Primary practice address
125 S Main Cross St
Louisa KY 41230-1065
Phone: (606) 638-0938
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3010260 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3010260 | Kentucky |
Profile Details
NPI number | 1427404029 |
---|---|
LBN Legal business name | Marshall, Carolyn Marie |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 12th, 2016 |
Last updated | May 16th, 2024 - about last year |
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 | 1427404029 | NPPES |
Ohio | MEDICAID | 0260610 | |
Ohio | MEDICAID | 7100469990 |
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