John, Martin

John, Martin is an individual health care provider with primary practice located at 303 S 12Th Ave , Yakima WA 98902-3112. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. John, Martin can be contacted via phone (509) 453-8248.

Contact Information

Primary practice address
303 S 12Th Ave Yakima WA 98902-3112
Phone: (509) 453-8248
Fax: (509) 248-9012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001014 Washington

Profile Details

NPI number 1215988738
LBN Legal business name John, Martin
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 11th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215988738 NPPES
Washington MEDICAID 9079203
Washington MEDICAID 7098684

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