Minor, Marlon
Minor, Marlon is an sole proprietor health care provider with primary practice located at 112 Boeykens Pl Ste 2A , Normal IL 61761-2152. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Minor, Marlon can be contacted via phone (309) 846-4716.Contact Information
Primary practice address
112 Boeykens Pl Ste 2A
Normal IL 61761-2152
Phone: (309) 846-4716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 238.000282 | Illinois |
Profile Details
| NPI number | 1770887887 |
|---|---|
| LBN Legal business name | Minor, Marlon |
| Credentials | RSA, CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2011 |
| Last updated | Sep 21st, 2011 - 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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