Marshall, Douglas J
Marshall, Douglas J is an sole proprietor health care provider with primary practice located at 110 N Main St , Morton IL 61550-2024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marshall, Douglas J can be contacted via phone (309) 266-8900.Contact Information
Primary practice address
110 N Main St
Morton IL 61550-2024
Phone: (309) 266-8900
Fax: (309) 263-6788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
NPI number | 1477569499 |
---|---|
LBN Legal business name | Marshall, Douglas J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Jul 8th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477569499 | NPPES |
Illinois | Other | 09032033 | BLUE CROSS/BLUE SHIELD |
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