Marcum, Marc A

Marcum, Marc A is an individual health care provider with primary practice located at 4001 Kresge Way Suite 200, Louisville KY 40207-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Marcum, Marc A can be contacted via phone (502) 895-1995.

Contact Information

Primary practice address
4001 Kresge Way Suite 200 Louisville KY 40207-4640
Phone: (502) 895-1995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25252 Kentucky

Profile Details

NPI number 1811976400
LBN Legal business name Marcum, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 27th, 2015 - about 11 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 1811976400 NPPES
Kentucky MEDICAID 64252521

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