Bingham, Marshall Douglas
Bingham, Marshall Douglas is an individual health care provider with primary practice located at 1534 E Ray Rd Ste 104 , Gilbert AZ 85296-4429. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bingham, Marshall Douglas can be contacted via phone (480) 855-5542.Contact Information
Primary practice address
1534 E Ray Rd Ste 104
Gilbert AZ 85296-4429
Phone: (480) 855-5542
Fax: (480) 855-5756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 13957 | Arizona |
Profile Details
| NPI number | 1871142893 |
|---|---|
| LBN Legal business name | Bingham, Marshall Douglas |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2019 |
| Last updated | Sep 11th, 2019 - about 7 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 | 1871142893 | NPPES |
| Arizona | Other | 13957 | PTA STATE LLICENCE |
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