Marshall, Ian Y

Marshall, Ian Y is an individual health care provider with primary practice located at 641 Saint Andrews Blvd , Charleston SC 29407-7165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Marshall, Ian Y can be contacted via phone (843) 766-9747.

Contact Information

Primary practice address
641 Saint Andrews Blvd Charleston SC 29407-7165
Fax: (843) 766-3399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 14936 South Carolina

Profile Details

NPI number 1255384053
LBN Legal business name Marshall, Ian Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255384053 NPPES
South Carolina MEDICAID GP4437

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