Marshall, Michael J

Marshall, Michael J is an sole proprietor health care provider with primary practice located at 1025 Main St Suite 507, Mull Center, Wheeling WV 26003-2726. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marshall, Michael J can be contacted via phone (304) 233-4600.

Contact Information

Primary practice address
1025 Main St Suite 507, Mull Center Wheeling WV 26003-2726
Fax: (304) 232-0719
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 716 West Virginia

Profile Details

NPI number 1356400170
LBN Legal business name Marshall, Michael J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1356400170 NPPES
West Virginia MEDICAID 0165048001

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