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
Fax: (336) 766-0553
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104992627 NPPES
North Carolina MEDICAID 8954028

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