Marshall, Eric Seth
Marshall, Eric Seth is an sole proprietor health care provider with primary practice located at 21 North Main St Suite 202, Port Chester NY 10573. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marshall, Eric Seth can be contacted via phone (914) 939-3278.Contact Information
Primary practice address
21 North Main St Suite 202
Port Chester NY 10573
Phone: (914) 939-3278
Fax: (914) 939-3279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 038682 | New York |
Profile Details
| NPI number | 1679564363 |
|---|---|
| LBN Legal business name | Marshall, Eric Seth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 25th, 2013 - about 11 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 | 1679564363 | NPPES |
| New York | MEDICAID | 00857869 | |
| New York | MEDICAID | 003091147 |
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