Marshall, Jason Jon

Marshall, Jason Jon is an individual health care provider with primary practice located at 5147 N 9Th Ave Suite 322, Pensacola FL 32504-8710. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marshall, Jason Jon can be contacted via phone (850) 474-9995.

Contact Information

Primary practice address
5147 N 9Th Ave Suite 322 Pensacola FL 32504-8710
Phone: (850) 474-9995
Fax: (850) 477-6021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME86950 Florida

Profile Details

NPI number 1407855505
LBN Legal business name Marshall, Jason Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 3rd, 2018 - about 6 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 1407855505 NPPES
Other 7494548 AETNA
MEDICAID 009985135 AETNA
MEDICAID 267619200 AETNA
Other 2122379 AETNA
Other 71936 AETNA
Other 59177073 AETNA

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