Kitchens, Marcellus B

Kitchens, Marcellus B is an sole proprietor health care provider with primary practice located at 2293 Candler Rd , Decatur GA 30032-6403. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kitchens, Marcellus B can be contacted via phone (770) 981-3122.

Contact Information

Primary practice address
2293 Candler Rd Decatur GA 30032-6403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1938 Georgia

Profile Details

NPI number 1245391929
LBN Legal business name Kitchens, Marcellus B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1245391929 NPPES
Georgia Other 1938 GA LICENSE #

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