Marshall, Mickey

Marshall, Mickey is an individual health care provider with primary practice located at 3200 Adeline St , Berkeley CA 94703-2407. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Marshall, Mickey can be contacted via phone (510) 601-0203.

Contact Information

Primary practice address
3200 Adeline St Berkeley CA 94703-2407
Fax: (510) 601-4002
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1992913495
LBN Legal business name Marshall, Mickey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jan 3rd, 2022 - about 4 months 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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