Marshall, Lisa Marie

Marshall, Lisa Marie is an individual health care provider with primary practice located at 209 W Maple Ave , Fayetteville WV 25840-1413. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Marshall, Lisa Marie can be contacted via phone (304) 574-2100.

Contact Information

Primary practice address
209 W Maple Ave Fayetteville WV 25840-1413
Phone: (304) 574-2100
Fax: (304) 574-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 22-937 West Virginia

Profile Details

NPI number 1699409961
LBN Legal business name Marshall, Lisa Marie
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Jul 13th, 2022 - about 3 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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