Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.061883 | OH |
NPI | 1457385684 |
---|---|
Provider Name | Sybil K Marsh |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000135268 | ANTHEM (01) | OH |
000000224233 | UNISON (01) | |
000000530393 | ANTHEM (01) | OH |
0234599 | (05) | OH |
363810 | WELLCARE (01) | |
638175 | AETNA (01) | OH |
737688 | BUCKEYE (01) | |
80145550 | RAILDROAD MEDICARE (01) | OH |
G26945 | (02) | OH |