Marshall, Jessica
Marshall, Jessica is an individual health care provider with primary practice located at 4305 New Shepherdsville Rd , Bardstown KY 40004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Marshall, Jessica can be contacted via phone (502) 350-5000.Contact Information
Primary practice address
4305 New Shepherdsville Rd
Bardstown KY 40004
Phone: (502) 350-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | TP304 | Kentucky |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34.011572 | Ohio |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02006655A | Indiana |
Profile Details
NPI number | 1992142632 |
---|---|
LBN Legal business name | Marshall, Jessica |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2013 |
Last updated | Jan 17th, 2024 - about 11 months 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 | 1992142632 | NPPES |
Ohio | MEDICAID | 0120604 |
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