location
search-icon
person
Ethan Tyler Marshall
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1366292799

Ethan Tyler Marshall is a Student in an Organized Health Care Education/Training Program based in Luverne, IL. Ethan Tyler Marshall practices in Peoria, IL. The NPI Number for Ethan Tyler Marshall is 1366292799 and holds a License No. (Illinois).

The current practice location address for Ethan Tyler Marshall is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 507-220-1519.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 56156-1203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366292799
Provider Name
Ethan Tyler Marshall
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 56156-1203
Phone Number
507-220-1519
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
507-220-1519
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
507-220-1519
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.