Marshall, Douglas J

Marshall, Douglas J is an sole proprietor health care provider with primary practice located at 110 N Main St , Morton IL 61550-2024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marshall, Douglas J can be contacted via phone (309) 266-8900.

Contact Information

Primary practice address
110 N Main St Morton IL 61550-2024
Phone: (309) 266-8900
Fax: (309) 263-6788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1477569499
LBN Legal business name Marshall, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1477569499 NPPES
Illinois Other 09032033 BLUE CROSS/BLUE SHIELD

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