Marvinny, Michael John

Marvinny, Michael John is an individual health care provider with primary practice located at 280 Maple St , Ashland OR 97520-1552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Marvinny, Michael John can be contacted via phone (541) 201-4000.

Contact Information

Primary practice address
280 Maple St Ashland OR 97520-1552
Phone: (541) 201-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X O-1352 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO26701 Oregon

Profile Details

NPI number 1164468534
LBN Legal business name Marvinny, Michael John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164468534 NPPES
Oregon Other 136209 MEDICARE-TYPE UNSPECIFIED
Oregon Other P00400668 MEDICARE-TYPE UNSPECIFIED
Oregon MEDICAID 005953 MEDICARE-TYPE UNSPECIFIED
Oregon Other 844477040 MEDICARE-TYPE UNSPECIFIED
Oregon Other 838366032 MEDICARE-TYPE UNSPECIFIED
Oregon Other 858464039 MEDICARE-TYPE UNSPECIFIED
Oregon Other 838334034 MEDICARE-TYPE UNSPECIFIED
Oregon Other 858463034 MEDICARE-TYPE UNSPECIFIED

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