Marshall, William R

Marshall, William R is an individual health care provider with primary practice located at 502 E Cornwallis Dr Suite N, Greensboro NC 27405-5680. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marshall, William R can be contacted via phone (336) 275-6595.

Contact Information

Primary practice address
502 E Cornwallis Dr Suite N Greensboro NC 27405-5680
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0732 North Carolina

Profile Details

NPI number 1376589960
LBN Legal business name Marshall, William R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1376589960 NPPES
North Carolina Other 06044 BC/BS PROVIDER #

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