Stombaugh, Marilyn

Stombaugh, Marilyn is an individual health care provider with primary practice located at 4107 S Water Tower Pl , Mount Vernon IL 62864-6293. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stombaugh, Marilyn can be contacted via phone (618) 244-0031.

Contact Information

Primary practice address
4107 S Water Tower Pl Mount Vernon IL 62864-6293
Phone: (618) 244-0031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Illinois

Profile Details

NPI number 1669559290
LBN Legal business name Stombaugh, Marilyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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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