Marshall, Robert T.
Marshall, Robert T. is an individual health care provider with primary practice located at 100 Nicolls Rd Hsc, Level 4, Room 080, Stony Brook NY 11794-8350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marshall, Robert T. can be contacted via phone (631) 444-2478.Contact Information
Primary practice address
100 Nicolls Rd Hsc, Level 4, Room 080
Stony Brook NY 11794-8350
Phone: (631) 444-2478
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 283170 | New York |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 283170 | New York |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 261154 | Massachusetts |
Profile Details
NPI number | 1740541663 |
---|---|
LBN Legal business name | Marshall, Robert T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2012 |
Last updated | Jul 5th, 2016 - about 8 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 | 1740541663 | NPPES |
Massachusetts | MEDICAID | 110102404A |
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