Smirnov, Marsha
Smirnov, Marsha is an sole proprietor health care provider with primary practice located at 230 Fortenberry Rd , Merritt Island FL 32952-3619. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Smirnov, Marsha can be contacted via phone (321) 453-2545.Contact Information
Primary practice address
230 Fortenberry Rd
Merritt Island FL 32952-3619
Phone: (321) 453-2545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 30569 | California |
| Chiropractic Providers / Chiropractor | 111N00000X | CH14257 | Florida |
Profile Details
| NPI number | 1205921491 |
|---|---|
| LBN Legal business name | Smirnov, Marsha |
| Credentials | D.C., FICPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205921491 | NPPES |
| Minnesota | MEDICAID | 851423200 |
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