Marshall, Jared

Marshall, Jared is an individual health care provider with primary practice located at 222 Carriage Crossing Ln , Middletown CT 06457-5862. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Marshall, Jared can be contacted via phone (518) 637-2104.

Contact Information

Primary practice address
222 Carriage Crossing Ln Middletown CT 06457-5862
Phone: (518) 637-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1265880918
LBN Legal business name Marshall, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Oct 2nd, 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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