Marshall, John R
Marshall, John R is an sole proprietor health care provider with primary practice located at 1107 N Cooper St , Arlington TX 76011-5545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Marshall, John R can be contacted via phone (817) 860-6067.Contact Information
Primary practice address
1107 N Cooper St
Arlington TX 76011-5545
Phone: (817) 860-6067
Fax: (817) 860-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | G5333 | Texas |
Profile Details
| NPI number | 1033263009 |
|---|---|
| LBN Legal business name | Marshall, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033263009 | NPPES |
| Texas | MEDICAID | P000FS95 |
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