Marshall, Daniel R

Marshall, Daniel R is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Marshall, Daniel R can be contacted via phone (208) 359-4841.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 359-4841
Fax: (208) 359-4842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2006018423 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X O-0508 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X O-0508 Idaho

Profile Details

NPI number 1861583486
LBN Legal business name Marshall, Daniel R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 29th, 2020 - about 6 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 1861583486 NPPES
Idaho MEDICAID 808295400

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