DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB C. MARSHALL JR., M.D.

Active Sole Proprietor

DR. JACOB C. MARSHALL JR., M.D. is a Family Medicine healthcare provider located in O FALLON, Illinois. NPI 1922081249 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · O FALLON, IL

Registration Details

NPI Number
1922081249
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2005 (20.698999963909 yrs)
Last Updated
Jul 12, 2010
Licenses
036102192 (IL)
036-102192 (IL)
Sole Proprietor
Yes

Practice Information

Address
103 N OAK ST
O FALLON, IL, 622691165
Browse IL providers · Browse ZIP 62269
Phone
8885776337
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Emergency Medicine

Other Family Medicine Providers in O FALLON, IL

Name Credential NPI
DR. KEVIN L PRITCHETT M.D. 1174522197
DORRIE C TREDWAY MD 1891787040
DAVID ALLEN MCCARTHY MD 1346242799
SCOTT F MORRISON MD 1508858713
DR. JAMES LEON JABLONSKI II M.D. 1194712513
DR. MARJORIE H. GUTHRIE M.D. 1366490146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.