Marshak, Joan Grode

Marshak, Joan Grode is an individual health care provider with primary practice located at 4600 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Marshak, Joan Grode can be contacted via phone (337) 521-9113.

Contact Information

Primary practice address
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902
Phone: (337) 521-9113
Fax: (337) 261-2697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 06781R Louisiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 06781R Louisiana

Profile Details

NPI number 1285635508
LBN Legal business name Marshak, Joan Grode
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 3rd, 2012 - about 14 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 1285635508 NPPES
Louisiana MEDICAID 1358843

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