Healthcare Provider Details

I. General information

NPI: 1992867865
Provider Name (Legal Business Name): TIMOTHY PATRICK MARSHALL HS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMDT CG-1122 U S COAST GUARD 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC DC
20593-0001
US

IV. Provider business mailing address

PO BOX 630053
SIMI VALLEY CA
93063-0001
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-3981
  • Fax: 510-437-3521
Mailing address:
  • Phone: 510-437-3981
  • Fax: 510-437-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: