Marshall, Keith N

Marshall, Keith N is an sole proprietor health care provider with primary practice located at 3272 E. 12 Mile Road Suite 102, Warren MI 48092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Marshall, Keith N can be contacted via phone (586) 558-9360.

Contact Information

Primary practice address
3272 E. 12 Mile Road Suite 102 Warren MI 48092
Phone: (586) 558-9360
Fax: (586) 573-3130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X KM007974 Michigan

Profile Details

NPI number 1578655049
LBN Legal business name Marshall, Keith N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1578655049 NPPES
Michigan MEDICAID 4508283

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