Marvell, Philemon T

Marvell, Philemon T is an sole proprietor health care provider with primary practice located at 2 Wake Robin Rd Suite 208, Lincoln RI 02865-4295. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marvell, Philemon T can be contacted via phone (401) 475-7650.

Contact Information

Primary practice address
2 Wake Robin Rd Suite 208 Lincoln RI 02865-4295
Phone: (401) 475-7650
Fax: (401) 475-7655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41799 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD05394 Rhode Island

Profile Details

NPI number 1811074909
LBN Legal business name Marvell, Philemon T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jan 9th, 2012 - 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 1811074909 NPPES
Massachusetts MEDICAID 0134546

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