Marvin, Michael R

Marvin, Michael R is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Marvin, Michael R can be contacted via phone (570) 271-6214.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1348
Phone: (570) 271-6214
Fax: (570) 271-5613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40501 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X MD456635 Pennsylvania
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MD456635 Pennsylvania

Profile Details

NPI number 1265455406
LBN Legal business name Marvin, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 31st, 2020 - about 4 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 1265455406 NPPES
Pennsylvania Other MA467930 MEDICARE
Pennsylvania Other 50014427 MEDICARE
Pennsylvania MEDICAID 200862650 MEDICARE
Pennsylvania Other 2833136000 MEDICARE
Pennsylvania MEDICAID 64130560 MEDICARE

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