Bowman-Marsh, Jan
Bowman-Marsh, Jan is an individual health care provider with primary practice located at 3333 W Deyoung St , Marion IL 62959-5884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bowman-Marsh, Jan can be contacted via phone (618) 998-7492.Contact Information
Primary practice address
3333 W Deyoung St
Marion IL 62959-5884
Phone: (618) 998-7492
Fax: (618) 998-7493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036076429 | Illinois |
Profile Details
| NPI number | 1992766190 |
|---|---|
| LBN Legal business name | Bowman-Marsh, Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 28th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992766190 | NPPES |
| Illinois | Other | 036076429 | BCBS |
| Illinois | MEDICAID | 036076429 | BCBS |
| Illinois | Other | P00172788 | BCBS |
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