Marroquin, Edmund Julian
Marroquin, Edmund Julian is an individual health care provider with primary practice located at 300 Hospital Drive , Vallejo CA 94589-2574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Marroquin, Edmund Julian can be contacted via phone (707) 554-4444.Contact Information
Primary practice address
300 Hospital Drive
Vallejo CA 94589-2574
Phone: (707) 554-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G81909 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G81909 | California |
Profile Details
| NPI number | 1215981469 |
|---|---|
| LBN Legal business name | Marroquin, Edmund Julian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 15th, 2016 - about 10 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 | 1215981469 | NPPES |
| California | MEDICAID | 00G819090 |
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