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
Phone: (510) 601-0203
Fax: (510) 601-4002
Website:
Health care specialties
| Specialty | Code | License # | 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 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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