Noble, Marilyn

Noble, Marilyn is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415-3364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Noble, Marilyn can be contacted via phone (806) 775-8600.

Contact Information

Primary practice address
602 Indiana Ave Lubbock TX 79415-3364
Phone: (806) 775-8600
Fax: (806) 743-3148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00772 Texas

Profile Details

NPI number 1417946807
LBN Legal business name Noble, Marilyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 9th, 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 1417946807 NPPES
New Mexico MEDICAID 52487
New Mexico Other 86N729
New Mexico Other J002
New Mexico MEDICAID S8805
New Mexico Other 52487

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