Marshall, William R
Marshall, William R is an sole proprietor health care provider with primary practice located at 1034 Mar Walt Dr Ste 100 , Fort Walton Beach FL 32547-6645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Marshall, William R can be contacted via phone (850) 863-2153.Contact Information
Primary practice address
1034 Mar Walt Dr Ste 100
Fort Walton Beach FL 32547-6645
Phone: (850) 863-2153
Fax: (850) 315-9350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME0035510 | Florida |
Profile Details
| NPI number | 1033114426 |
|---|---|
| LBN Legal business name | Marshall, William R |
| Credentials | MD PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Feb 12th, 2014 - about 10 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 | 1033114426 | NPPES |
| Florida | MEDICAID | 038689800 | |
| Florida | Other | 406203902 |
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