Provider Demographics
NPI:1720698533
Name:KRASHOC, MARSHA D
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:D
Last Name:KRASHOC
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 1:199 SUNFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEYSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25430-4135
Mailing Address - Country:US
Mailing Address - Phone:304-724-7455
Mailing Address - Fax:
Practice Address - Street 1:199 SUNFLOWER DR
Practice Address - Street 2:
Practice Address - City:KEARNEYSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25430-4135
Practice Address - Country:US
Practice Address - Phone:304-724-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant