Shih, Marissa Eusebio

Shih, Marissa Eusebio is an individual health care provider with primary practice located at 115 Rockwood Ln , Hazard KY 41701-9415. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shih, Marissa Eusebio can be contacted via phone (606) 436-5761.

Contact Information

Primary practice address
115 Rockwood Ln Hazard KY 41701-9415
Phone: (606) 436-5761
Fax: (606) 436-5797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3180P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3003180 Kentucky

Profile Details

NPI number 1629165956
LBN Legal business name Shih, Marissa Eusebio
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Sep 19th, 2023 - about 3 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 1629165956 NPPES
Kentucky MEDICAID 78004215
Kentucky Other 61-0991301

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