# MR. ERNEST W MARSHALL SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528122603
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19128 | KY | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 02/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000047197 | ANTHEM BCBS | KY |
| 01 | — | 1052399 | PASSPORT | KY |
| 05 | — | 64191281 | — | KY |