Provider Demographics
NPI:1750393104
Name:MARCIL, WILLIAM ALBERT (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALBERT
Last Name:MARCIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-398-6248
Mailing Address - Fax:402-829-8513
Practice Address - Street 1:415 S 25TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3654
Practice Address - Country:US
Practice Address - Phone:402-717-5336
Practice Address - Fax:402-717-5499
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE184102084P0800X
TXH45172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-0376583-43Medicaid
IA1909424Medicaid
IA1909424Medicaid
NEE82208Medicare UPIN