Marshall, Michael
Marshall, Michael is an sole proprietor health care provider with primary practice located at 261 5Th Ave Suite 1709, New York NY 10016-7701. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Marshall, Michael can be contacted via phone (212) 488-7777.Contact Information
Primary practice address
261 5Th Ave Suite 1709
New York NY 10016-7701
Phone: (212) 488-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 045880 | New York |
Profile Details
| NPI number | 1275594186 |
|---|---|
| LBN Legal business name | Marshall, Michael |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Nov 12th, 2015 - about 11 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 | 1275594186 | NPPES |
| New York | MEDICAID | 02187382 |
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