Pemberton, Marlon
Pemberton, Marlon is an sole proprietor health care provider with primary practice located at 1604 Visa Dr Ste 1 , Normal IL 61761-2195. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as his primary health care specialty. Pemberton, Marlon can be contacted via phone (309) 454-1100.Contact Information
Primary practice address
1604 Visa Dr Ste 1
Normal IL 61761-2195
Phone: (309) 454-1100
Fax: (309) 454-1107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X | 246ZE0600X | New York |
Profile Details
| NPI number | 1942746185 |
|---|---|
| LBN Legal business name | Pemberton, Marlon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2017 |
| Last updated | Jan 11th, 2017 - about 7 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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