Marshall, William Jeffery
Marshall, William Jeffery is an sole proprietor health care provider with primary practice located at 2255 Lewisville Clemmons Rd , Clemmons NC 27012-7463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Marshall, William Jeffery can be contacted via phone (336) 766-0505.Contact Information
Primary practice address
2255 Lewisville Clemmons Rd
Clemmons NC 27012-7463
Phone: (336) 766-0505
Fax: (336) 766-0553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28539 | North Carolina |
Profile Details
NPI number | 1104992627 |
---|---|
LBN Legal business name | Marshall, William Jeffery |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 27th, 2006 |
Last updated | Sep 28th, 2011 - about 13 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 | 1104992627 | NPPES |
North Carolina | MEDICAID | 8954028 |
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