Gardner-Martin, Crystal Renee
Gardner-Martin, Crystal Renee is an individual health care provider with primary practice located at 18302 Middlebelt Rd , Livonia MI 48152-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Gardner-Martin, Crystal Renee can be contacted via phone (248) 478-1500.Contact Information
Primary practice address
18302 Middlebelt Rd
Livonia MI 48152-5007
Phone: (248) 478-1500
Fax: (248) 478-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301073171 | Michigan |
Profile Details
| NPI number | 1447244280 |
|---|---|
| LBN Legal business name | Gardner-Martin, Crystal Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Sep 9th, 2022 - about 3 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 | 1447244280 | NPPES |
| Michigan | MEDICAID | 10-42053230 | |
| Michigan | MEDICAID | 1447244280 | |
| Michigan | Other | 11276684 |
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