Doctor Name: | DR. JON H. MARSHALL |
NPI Number: | 1942267174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34-002201 |
Business Practice Address: | 524 W 24th St Ashtabula, OH - 440043423 |
Business Phone Number: | 4409924422 |
Business Fax Number: | 4409976514 |
Mailing Address: | 4700 Rockside Rd, INDEPENDENCE |
State: | OH |
Postal Code: | 441312171 |
Phone Number: | 2166433114 |
Fax Number: | 2166433011 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34-002201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |