Marcus, Deanna Marie

Marcus, Deanna Marie is an individual health care provider with primary practice located at 5828 Independence Ave , Indianapolis IN 46234-3683. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Marcus, Deanna Marie can be contacted via phone (317) 918-4355.

Contact Information

Primary practice address
5828 Independence Ave Indianapolis IN 46234-3683
Phone: (317) 918-4355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 10-012343-1 Indiana
Other Service Providers / Community Health Worker 172V00000X 10-012345-1 Indiana

Profile Details

NPI number 1194010322
LBN Legal business name Marcus, Deanna Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2011 - about 15 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 1194010322 NPPES
Indiana MEDICAID 201011630A

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