Marshall, Gary Lynn

Marshall, Gary Lynn is an individual health care provider with primary practice located at 518 Signal Hill Drive Ext , Statesville NC 28625-4391. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Marshall, Gary Lynn can be contacted via phone (704) 873-1114.

Contact Information

Primary practice address
518 Signal Hill Drive Ext Statesville NC 28625-4391
Phone: (704) 873-1114
Fax: (704) 873-9917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22508 North Carolina

Profile Details

NPI number 1093247546
LBN Legal business name Marshall, Gary Lynn
Credentials LCASA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Feb 22nd, 2018 - about 8 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 1093247546 NPPES
North Carolina MEDICAID 1093247546

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