Individual
MR. ERNEST W MARSHALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 585-5325
(502) 585-1137
Mailing address
136 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 585-5325
(502) 585-1137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047197
ANTHEM BCBS
KY
01
—
1052399
PASSPORT
KY
05
—
64191281
—
KY
Enumeration date
12/21/2006
Last updated
02/25/2008
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