Timothy Patrick Marshall, HS

Individual provider Active NPI Other Technician · Washington, DC, DC

NPI 1992867865 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992867865
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
Comdt CG-1122 U S Coast Guard
2100 2ND St SW, Suite 5314
Washington, DC, DC 20593-0001
Phone
(510) 437-3981
Fax
(510) 437-3521
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
High School Graduate

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

Comdt CG-1122 U S Coast Guard
2100 2ND St SW, Suite 5314
Washington, DC, DC 20593-0001

Mailing address

PO Box 630053
Simi Valley, CA 93063-0001
Phone (510) 437-3981

Other providers in Washington, DC, DC

All providers in Washington, DC, DC · Other Technician in District of Columbia

Sources for this page

Verify at the official NPI Registry.