Vary, Marshall Gordon

Vary, Marshall Gordon is an sole proprietor health care provider with primary practice located at 3545 Olentangy River Rd Suite #412, Columbus OH 43214-3907. 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 / Psychiatry is his primary health care specialty. Vary, Marshall Gordon can be contacted via phone (614) 566-4925.

Contact Information

Primary practice address
3545 Olentangy River Rd Suite #412 Columbus OH 43214-3907
Phone: (614) 566-4925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35039617 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35039617 Ohio

Profile Details

NPI number 1902929136
LBN Legal business name Vary, Marshall Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1902929136 NPPES
Ohio MEDICAID 0943975

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