Provider Demographics
NPI:1972585842
Name:MARCUS, HOWARD J (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:J
Last Name:MARCUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:322 US HIGHWAY 41
Mailing Address - Street 2:STE 202
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4203
Mailing Address - Country:US
Mailing Address - Phone:219-440-7025
Mailing Address - Fax:219-440-7028
Practice Address - Street 1:322 US HIGHWAY 41
Practice Address - Street 2:SUITE 202
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-4203
Practice Address - Country:US
Practice Address - Phone:219-440-7025
Practice Address - Fax:219-440-7028
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01044090A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200045480Medicaid
IN200045480Medicaid
IN217030AMedicare PIN