Marlon, Anthony John

Marlon, Anthony John is an individual health care provider with primary practice located at 4275 Burnham Ave Ste 340 , Las Vegas NV 89119-5400. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Marlon, Anthony John can be contacted via phone (702) 734-6363.

Contact Information

Primary practice address
4275 Burnham Ave Ste 340 Las Vegas NV 89119-5400
Phone: (702) 734-6363
Fax: (702) 734-6374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0256 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0256 Nevada

Profile Details

NPI number 1376880708
LBN Legal business name Marlon, Anthony John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376880708 NPPES
Nevada Other PA0256 STATE LICENSE
Nevada MEDICAID 1376880708 STATE LICENSE

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