Provider Demographics
NPI:1619399979
Name:MCHALE, MARSHA LYNN
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:LYNN
Last Name:MCHALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402
Mailing Address - Street 2:BOX 674
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:AUS DEM KIRCHBERG
Practice Address - City:LANDSTUHL
Practice Address - State:RHINELAND PALATINATE
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:0114963719-464-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003564174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist