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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033114426 NPPES
Florida MEDICAID 038689800
Florida Other 406203902

Popular Providers