Marshall, Marita S.
Marshall, Marita S. is an individual health care provider with primary practice located at 500 W 10Th St , Wilmington DE 19801-1422. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Marshall, Marita S. can be contacted via phone (302) 230-9192.Contact Information
Primary practice address
500 W 10Th St
Wilmington DE 19801-1422
Phone: (302) 230-9192
Fax: (302) 691-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1334 | Delaware |
Profile Details
| NPI number | 1992058200 |
|---|---|
| LBN Legal business name | Marshall, Marita S. |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2012 |
| Last updated | Oct 24th, 2012 - about 14 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 | 1992058200 | NPPES |
| Delaware | MEDICAID | 1689733792 |
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