Marshall R Black
Podiatrist Prosthetist
823 16th Ave
Lewiston
, Idaho 83501-3733
Marshall R Black
Podiatrist Prosthetist
823 16th Ave
Lewiston
, Idaho 83501-3733
(208) 798-0201
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Marshall R Black
- 823 16th Ave
- Lewiston, ID
- Zip : 83501-3733
- Fax : (208) 798-0201
- Phone : (208) 798-0200
Second Address
- Marshall R Black
- 823 16th Ave
- Lewiston, ID
- Zip : 83501-3733
- Fax : (208) 798-0201
- Phone : (208) 798-0200
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FAQs
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What type of doctor is Marshall R Black
In what state does Marshall R Black practice in?
Where is Marshall R Black ’s practice located?
What is Marshall R Black ’s gender?
Is Marshall R Black a sole practitioner?
Is Marshall R Black accepting new patients?
What languages does Marshall R Black speak?
Does Marshall R Black accept insurance?
Does Marshall R Black offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ||
| Y | 222Z00000X | Podiatrist | ||
| N | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1154357242 |
|---|---|
| Provider Name | Marshall R Black |
| First Address | Lewiston, ID 83501-3733 |
| Second Address | Lewiston, ID 83501-3733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 02/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.