Fiedler, Martin Paul
Fiedler, Martin Paul is an individual health care provider with primary practice located at 9667 Hwy 29 Ste 101, Lower Lake CA 95457. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fiedler, Martin Paul can be contacted via phone (707) 994-6940.Contact Information
Primary practice address
9667 Hwy 29 Ste 101
Lower Lake CA 95457
Phone: (707) 994-6940
Fax: (707) 994-6941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC015919 | California |
Profile Details
| NPI number | 1083777007 |
|---|---|
| LBN Legal business name | Fiedler, Martin Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083777007 | NPPES |
| California | MEDICAID | GDC000500 |
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