Reiswig, Marc

Reiswig, Marc is an individual health care provider with primary practice located at 914 S Scheuber Rd , Centralia WA 98531-9027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Reiswig, Marc can be contacted via phone (360) 748-4444.

Contact Information

Primary practice address
914 S Scheuber Rd Centralia WA 98531-9027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00035984 Washington

Profile Details

NPI number 1780610311
LBN Legal business name Reiswig, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780610311 NPPES
Washington MEDICAID 8227795

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