Provider Demographics
NPI:1831461854
Name:MARSHALL OHIO ED ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MARSHALL OHIO ED ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAITE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-335-9041
Mailing Address - Street 1:1792 ALYSHEBA WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2288
Mailing Address - Country:US
Mailing Address - Phone:859-335-9042
Mailing Address - Fax:
Practice Address - Street 1:1792 ALYSHEBA WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2288
Practice Address - Country:US
Practice Address - Phone:859-335-9042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty