Marshall, Jennifer L
Marshall, Jennifer L is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Marshall, Jennifer L can be contacted via phone (920) 320-2564.Contact Information
Primary practice address
2300 Western Ave
Manitowoc WI 54220-3712
Phone: (920) 320-2564
Fax: (920) 320-2201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 56500 | Wisconsin |
Profile Details
NPI number | 1023081403 |
---|---|
LBN Legal business name | Marshall, Jennifer L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Nov 18th, 2011 - about 14 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 | 1023081403 | NPPES |
New Mexico | Other | 20200396 | PRESBYTERIAN HP |
New Mexico | Other | NM009T97 | PRESBYTERIAN HP |
New Mexico | MEDICAID | 41729595 | PRESBYTERIAN HP |
New Mexico | Other | 10019287 | PRESBYTERIAN HP |
New Mexico | MEDICAID | T0396 | PRESBYTERIAN HP |
New Mexico | MEDICAID | 01330869 | PRESBYTERIAN HP |
New Mexico | MEDICAID | 941410 | PRESBYTERIAN HP |
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