National Provider Identifier Database

ETHAN Z MARSHALL, CPO – NPI #1609457894
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

ETHAN Z MARSHALL, CPO
9400 LAKEVIEW PKWY STE 121
ROWLETT, TX75088-4401
Phone: 214-501-4050
Fax: 214-501-4640
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for ETHAN Z MARSHALL

NPI Number 1609457894
Credentials CPO
Entity Individual
Enumeration date 04/19/2021
Last updated 04/19/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 2120
Hospital affiliation n/a

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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