Stanbro, Marcus Duane

Stanbro, Marcus Duane is an individual health care provider with primary practice located at 200 Patewood Dr Ste B260 , Greenville SC 29615-6328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Stanbro, Marcus Duane can be contacted via phone (864) 454-2852.

Contact Information

Primary practice address
200 Patewood Dr Ste B260 Greenville SC 29615-6328
Phone: (864) 454-2852
Fax: (864) 454-2899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 662 South Carolina

Profile Details

NPI number 1811940224
LBN Legal business name Stanbro, Marcus Duane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 10th, 2022 - about 3 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 1811940224 NPPES
South Carolina MEDICAID T00808
South Carolina Other P00802362

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