Marin, Philip Charles
Marin, Philip Charles is an sole proprietor health care provider with primary practice located at 1304 N Grand Ave , Pueblo CO 81003-2718. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Marin, Philip Charles can be contacted via phone (719) 669-8487.Contact Information
Primary practice address
1304 N Grand Ave
Pueblo CO 81003-2718
Phone: (719) 669-8487
Fax: (719) 669-8488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 0040500 | Colorado |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 40500 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 40500 | Colorado |
Profile Details
| NPI number | 1205868544 |
|---|---|
| LBN Legal business name | Marin, Philip Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 5th, 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 | 1205868544 | NPPES |
| Other | 61101 | HUMANA GOLD | |
| Other | 00073 | HUMANA GOLD | |
| Other | P00213540 | HUMANA GOLD | |
| Other | TDDIR | HUMANA GOLD | |
| Other | 00320 | HUMANA GOLD | |
| Other | MA65799 | HUMANA GOLD | |
| Other | 71412 | HUMANA GOLD |
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