Marshall, Karen
Marshall, Karen is an individual health care provider with primary practice located at 426 Sw Commerce Dr Suite 101, Lake City FL 32025-1505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Marshall, Karen can be contacted via phone (386) 755-2240.Contact Information
Primary practice address
426 Sw Commerce Dr Suite 101
Lake City FL 32025-1505
Phone: (386) 755-2240
Fax: (386) 755-6598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105345 | Florida |
Profile Details
| NPI number | 1205167129 |
|---|---|
| LBN Legal business name | Marshall, Karen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2010 |
| Last updated | Dec 5th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205167129 | NPPES |
| Florida | MEDICAID | 002200000 |
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