Marshall, Scott Lee

Marshall, Scott Lee is an individual health care provider with primary practice located at 1440 W Walnut St #2, Jacksonville IL 62650-1143. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Marshall, Scott Lee can be contacted via phone (217) 245-1455.

Contact Information

Primary practice address
1440 W Walnut St #2 Jacksonville IL 62650-1143
Phone: (217) 245-1455
Fax: (217) 243-6903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070010488 Illinois

Profile Details

NPI number 1649259342
LBN Legal business name Marshall, Scott Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 16th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649259342 NPPES
Illinois Other 1083769475 DMERC NPI
Illinois Other 216653 DMERC NPI
Illinois Other 0005415281 DMERC NPI

Popular Providers