Marshall, Bruce Allen

Marshall, Bruce Allen is an individual health care provider with primary practice located at 101 N 1St St , Springfield IL 62781-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Marshall, Bruce Allen can be contacted via phone (217) 622-4693.

Contact Information

Primary practice address
101 N 1St St Springfield IL 62781-0001
Phone: (217) 622-4693
Fax: (217) 788-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036102654 Illinois

Profile Details

NPI number 1548373392
LBN Legal business name Marshall, Bruce Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 4th, 2023 - about 2 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 1548373392 NPPES
Illinois Other 011112 HEALTH ALLIANCE
Illinois MEDICAID 036102654 HEALTH ALLIANCE
Illinois Other 220028805 HEALTH ALLIANCE
Illinois Other 32017 HEALTH ALLIANCE
Illinois Other 020102500 HEALTH ALLIANCE
Illinois Other 08415043 HEALTH ALLIANCE
Illinois Other 684895 HEALTH ALLIANCE
Illinois Other C12333 HEALTH ALLIANCE
Illinois Other 133101600 HEALTH ALLIANCE
Illinois Other 14D0435736 HEALTH ALLIANCE

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