Teitelbaum, Marshall L
Teitelbaum, Marshall L is an sole proprietor health care provider with primary practice located at 641 University Blvd Su. 206, Jupiter FL 33458-2791. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Teitelbaum, Marshall L can be contacted via phone (561) 630-8530.Contact Information
Primary practice address
641 University Blvd Su. 206
Jupiter FL 33458-2791
Phone: (561) 630-8530
Fax: (561) 630-8531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME0064520 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME0064520 | Florida |
Profile Details
| NPI number | 1336241207 |
|---|---|
| LBN Legal business name | Teitelbaum, Marshall L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | May 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336241207 | NPPES |
| Florida | Other | ME0064520 | MEDICAL LICENSE |
| Florida | MEDICAID | 377387600 | MEDICAL LICENSE |
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