Marin, John D

Marin, John D is an sole proprietor health care provider with primary practice located at 7156 E Grass Land Dr , Prescott Valley AZ 86314-1940. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Marin, John D can be contacted via phone (928) 772-7450.

Contact Information

Primary practice address
7156 E Grass Land Dr Prescott Valley AZ 86314-1940
Phone: (928) 772-7450
Fax: (928) 772-7450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM443 Arizona

Profile Details

NPI number 1437250701
LBN Legal business name Marin, John D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Feb 4th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437250701 NPPES
Arizona MEDICAID 333899
Arizona Other AZ0191930
Arizona Other 860820843

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