Marshall, Jennifer L

Marshall, Jennifer L is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Marshall, Jennifer L can be contacted via phone (920) 320-2564.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2564
Fax: (920) 320-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 56500 Wisconsin

Profile Details

NPI number 1023081403
LBN Legal business name Marshall, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 18th, 2011 - about 15 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 1023081403 NPPES
New Mexico Other 20200396 PRESBYTERIAN HP
New Mexico Other NM009T97 PRESBYTERIAN HP
New Mexico MEDICAID 41729595 PRESBYTERIAN HP
New Mexico Other 10019287 PRESBYTERIAN HP
New Mexico MEDICAID T0396 PRESBYTERIAN HP
New Mexico MEDICAID 01330869 PRESBYTERIAN HP
New Mexico MEDICAID 941410 PRESBYTERIAN HP

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