Marshall, Gary Scott
Marshall, Gary Scott is an individual health care provider with primary practice located at 411 E Chestnut St # 4B5A , Louisville KY 40202-1713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Marshall, Gary Scott can be contacted via phone (502) 588-2348.Contact Information
Primary practice address
411 E Chestnut St # 4B5A
Louisville KY 40202-1713
Phone: (502) 588-2348
Fax: (502) 588-2334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26520 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 26520 | Kentucky |
Profile Details
| NPI number | 1720062268 |
|---|---|
| LBN Legal business name | Marshall, Gary Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Mar 26th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720062268 | NPPES |
| Kentucky | MEDICAID | 64265200 | |
| Kentucky | MEDICAID | 100374700 |
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