Marshall, Don A
Marshall, Don A is an individual health care provider with primary practice located at 3010 E State Blvd Sutie 100, Fort Wayne IN 46805-4700. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Marshall, Don A can be contacted via phone (260) 471-0632.Contact Information
Primary practice address
3010 E State Blvd Sutie 100
Fort Wayne IN 46805-4700
Phone: (260) 471-0632
Fax: (260) 471-3451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01038606A | Indiana |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 01038606A | Indiana |
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 01038606A | Indiana |
Profile Details
NPI number | 1144274275 |
---|---|
LBN Legal business name | Marshall, Don A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2006 |
Last updated | Aug 3rd, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144274275 | NPPES |
Indiana | MEDICAID | 100082250B | |
Indiana | Other | 93110 | |
Indiana | Other | 10082250B | |
Indiana | Other | 119094 | |
Indiana | Other | 000000006472 | |
Indiana | Other | 000000093110 | |
Indiana | MEDICAID | 0944554 | |
Indiana | Other | 3382 | |
Indiana | Other | 063909 | |
Indiana | Other | 01008583 | |
Indiana | Other | 01652800 |
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