Marchena, Carlos

Marchena, Carlos is an individual health care provider with primary practice located at 3170 S Professional Dr , Bay City MI 48706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Marchena, Carlos can be contacted via phone (989) 667-8872.

Contact Information

Primary practice address
3170 S Professional Dr Bay City MI 48706
Phone: (989) 667-8872
Fax: (989) 686-8514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X CM040033 Michigan

Profile Details

NPI number 1548374788
LBN Legal business name Marchena, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548374788 NPPES
Michigan MEDICAID 303750
Michigan Other P41306
Michigan Other 0090010
Michigan Other XX27323

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