Maimon, Martin
Maimon, Martin is an individual health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maimon, Martin can be contacted via phone (253) 697-4110.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00038662 | Washington |
Profile Details
| NPI number | 1710934302 |
|---|---|
| LBN Legal business name | Maimon, Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 30th, 2012 - about 13 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 | 1710934302 | NPPES |
| Washington | MEDICAID | 8270415 | |
| Washington | MEDICAID | 807493200 |
Popular Providers
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Sledd, Andrew T
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Ingrao, Suzanne Amalie
407 14Th Ave Se , Puyallup WA 98372-3770 -
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