Gwynn, Marshal T

Gwynn, Marshal T is an individual health care provider with primary practice located at 401 Rogers St , Princeton WV 24740-3636. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gwynn, Marshal T can be contacted via phone (304) 487-9442.

Contact Information

Primary practice address
401 Rogers St Princeton WV 24740-3636
Phone: (304) 487-9442
Fax: (330) 536-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 10436 West Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103301085 Virginia

Profile Details

NPI number 1407173982
LBN Legal business name Gwynn, Marshal T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
Last updated Jun 9th, 2020 - about 6 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 1407173982 NPPES
Virginia Other VVA226A MEDICARE NUMBER

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