Ingram, Marquis
Ingram, Marquis is an individual health care provider with primary practice located at 11330 White Bluff Rd Unit 37 , Savannah GA 31419-1579. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Ingram, Marquis can be contacted via phone (912) 777-2865.Contact Information
Primary practice address
11330 White Bluff Rd Unit 37
Savannah GA 31419-1579
Phone: (912) 777-2865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 202183102250 | Georgia |
Profile Details
| NPI number | 1003514167 |
|---|---|
| LBN Legal business name | Ingram, Marquis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2023 |
| Last updated | Feb 20th, 2023 - about 3 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 | 1003514167 | NPPES |
| Georgia | MEDICAID | 922414946 |
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