Marsho, Patrick R

Marsho, Patrick R is an individual health care provider with primary practice located at 1703 N Taylor Drive , Sheboygan WI 53081-1933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marsho, Patrick R can be contacted via phone (920) 457-4438.

Contact Information

Primary practice address
1703 N Taylor Drive Sheboygan WI 53081-1933
Fax: (920) 457-6748
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21502 Wisconsin

Profile Details

NPI number 1174589998
LBN Legal business name Marsho, Patrick R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jun 11th, 2012 - about 12 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 1174589998 NPPES
Wisconsin MEDICAID 30248000

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