Marshall, Robert B

Marshall, Robert B is an individual health care provider with primary practice located at 103 Bacon St , Pawtucket RI 02860-5542. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Marshall, Robert B can be contacted via phone (401) 728-3750.

Contact Information

Primary practice address
103 Bacon St Pawtucket RI 02860-5542
Phone: (401) 728-3750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1SW00225 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1912965526
LBN Legal business name Marshall, Robert B
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 11th, 2013 - about 12 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 1912965526 NPPES
Rhode Island MEDICAID RM20115
Rhode Island Other 407698
Rhode Island Other 30589

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