Martellotto, Joseph M

Martellotto, Joseph M is an individual health care provider with primary practice located at 910 E Houston St Ste 230 , Tyler TX 75702-8364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Martellotto, Joseph M can be contacted via phone (903) 606-7300.

Contact Information

Primary practice address
910 E Houston St Ste 230 Tyler TX 75702-8364
Phone: (903) 606-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M9482 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M9482 Texas

Profile Details

NPI number 1396950051
LBN Legal business name Martellotto, Joseph M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Sep 29th, 2022 - about 2 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 1396950051 NPPES
Arizona MEDICAID 223656
Arizona Other 75-2616977-042
Arizona MEDICAID 193219602
Arizona Other 8CU877
Arizona Other 75-2616977-103

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