Washington, Vance Marshal
Washington, Vance Marshal is an individual health care provider with primary practice located at 4560 Admiralty Way Ste 100 , Marina Del Rey CA 90292-5424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Washington, Vance Marshal can be contacted via phone (310) 827-3700.Contact Information
Primary practice address
4560 Admiralty Way Ste 100
Marina Del Rey CA 90292-5424
Phone: (310) 827-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18832 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38022 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C187365 | California |
Profile Details
| NPI number | 1811376908 |
|---|---|
| LBN Legal business name | Washington, Vance Marshal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2015 |
| Last updated | Aug 31st, 2023 - about 2 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 | 1811376908 | NPPES |
| Nevada | MEDICAID | 1811376908 | |
| Nevada | Other | 18832 |
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