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Contact Information

MELISSA A FULLNER MARSHALL, PA
1104 W 8TH ST
YANKTON, SD57078-3306
 Phone: 605-665-7841
 Fax: 605-665-0546
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MELISSA A FULLNER MARSHALL · (Female)

NPI Number 1407033012
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/25/2008
Last updated 06/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 1632
  • SD License # 0667
  • SD License # 1222
  • NE Medicaid 10025938900
  • SD Medicaid 6830000
Hospital affiliation(s)
  • AVERA SACRED HEART HOSPITAL - (Acute Care)
    501 SUMMIT
    YANKTON, SD 57078
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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