Prince, Marion R

Prince, Marion R is an individual health care provider with primary practice located at 5195 Mayfield Rd Suite 101, Lyndhurst OH 44124-2464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Prince, Marion R can be contacted via phone (440) 442-0400.

Contact Information

Primary practice address
5195 Mayfield Rd Suite 101 Lyndhurst OH 44124-2464
Phone: (440) 442-0400
Fax: (440) 461-6005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34004052 Ohio

Profile Details

NPI number 1790724250
LBN Legal business name Prince, Marion R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 30th, 2016 - about 9 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 1790724250 NPPES
Ohio Other 1790724250 NPI
Ohio MEDICAID 0572072 NPI

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