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Contact Information

DON A MARSHALL JR, MD
3010 E STATE BLVD
SUTIE 100
FORT WAYNE, IN46805-4700
 Phone: 260-471-0632
 Fax: 260-471-3451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DON A MARSHALL JR · (Male)

NPI Number 1144274275
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01038606A
  • IN Medicaid 100082250B
  • OH Medicaid 0944554
  • IN Other 000000093110 ANTHEM BCBS
  • IN Other 93110 ANTHEM HIP
  • IN Other 119094 COMPSYCH
  • IN Other 01008583 HEALTHPLUS
  • IN Other 01652800 MEGELLAN
  • IN Other 000000006472 MPLAN & 3 RIVERS
  • IN Other 10082250B PCCM
  • IN Other 3382 PHP
  • IN Other 063909 VALUE OPT
Hospital affiliation(s) Not Available
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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