Marshall, Gailen Daugherty
Marshall, Gailen Daugherty is an individual health care provider with primary practice located at 878 Lakeland Dr , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Marshall, Gailen Daugherty can be contacted via phone (601) 815-1078.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 18705 | Mississippi |
Profile Details
| NPI number | 1609810894 |
|---|---|
| LBN Legal business name | Marshall, Gailen Daugherty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 24th, 2017 - about 7 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 | 1609810894 | NPPES |
| Mississippi | MEDICAID | 03152381 | |
| Mississippi | MEDICAID | 1723380 |
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