Marshall, Don A

Marshall, Don A is an individual health care provider with primary practice located at 3010 E State Blvd Sutie 100, Fort Wayne IN 46805-4700. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Marshall, Don A can be contacted via phone (260) 471-0632.

Contact Information

Primary practice address
3010 E State Blvd Sutie 100 Fort Wayne IN 46805-4700
Phone: (260) 471-0632
Fax: (260) 471-3451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01038606A Indiana
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 01038606A Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 01038606A Indiana

Profile Details

NPI number 1144274275
LBN Legal business name Marshall, Don A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 3rd, 2015 - about 11 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 1144274275 NPPES
Indiana MEDICAID 100082250B
Indiana Other 93110
Indiana Other 10082250B
Indiana Other 119094
Indiana Other 000000006472
Indiana Other 000000093110
Indiana MEDICAID 0944554
Indiana Other 3382
Indiana Other 063909
Indiana Other 01008583
Indiana Other 01652800

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