Marshall, Dennis James

Marshall, Dennis James is an sole proprietor health care provider with primary practice located at 13 Timberland Dr , Fairbanks AK 99701-3143. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Marshall, Dennis James can be contacted via phone (907) 374-3381.

Contact Information

Primary practice address
13 Timberland Dr Fairbanks AK 99701-3143
Phone: (907) 374-3381
Fax: (907) 374-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CPO00873 California

Profile Details

NPI number 1255300166
LBN Legal business name Marshall, Dennis James
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Aug 20th, 2008 - about 17 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 1255300166 NPPES
Alaska Other 7862526 AETNA, PROSTHTICS & ORTHO
Alaska MEDICAID PO8040 AETNA, PROSTHTICS & ORTHO
Alaska Other 202752400 AETNA, PROSTHTICS & ORTHO

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