Provider Demographics
NPI:1174523393
Name:SINBACK, MARSHALL FRANCIS JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:FRANCIS
Last Name:SINBACK
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3029 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2697
Mailing Address - Country:US
Mailing Address - Phone:540-678-3808
Mailing Address - Fax:
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:MARTINSBURG VA MEDICAL CENTER
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9990
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:304-262-1397
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110002091363A00000X, 363AS0400X
MA1346363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical