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Contact Information

MARSHALL E MCCABE IV, DO
406 BLACK HILLS LN SW STE A
OLYMPIA, WA98502
 Phone: 360-754-1735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARSHALL E MCCABE IV · (Male)

NPI Number 1447514302
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/26/2012
Last updated 09/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02004673A
  • IN License # 11016698A
  • WA License # OP60945227
  • IN Medicaid 201121960
Hospital affiliation(s)
  • CAPITAL MEDICAL CENTER - (Acute Care)
    3900 CAPITAL MALL DR SW
    OLYMPIA, WA 98502
  • GRAYS HARBOR COMMUNITY HOSPITAL - (Acute Care)
    915 ANDERSON DRIVE
    ABERDEEN, WA 98520
  • MARK REED HOSPITAL & HEALTHCARE CLINIC - (Critical Access)
    600 EAST MAIN STREET
    ELMA, WA 98541
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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