Marshall, Stephanie D

Marshall, Stephanie D is an individual health care provider with primary practice located at 8684 Connecticut St Ste A , Merrillville IN 46410-5581. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Marshall, Stephanie D can be contacted via phone (192) 472-8990.

Contact Information

Primary practice address
8684 Connecticut St Ste A Merrillville IN 46410-5581
Phone: (192) 472-8990
Fax: (219) 472-0270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-099475 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 02001947A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02001947A Indiana

Profile Details

NPI number 1124002738
LBN Legal business name Marshall, Stephanie D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 27th, 2024 - about 7 months 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 1124002738 NPPES
Indiana Other 000000375757 ANTHEM PIN
Indiana MEDICAID 200270150 ANTHEM PIN

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