Martenson, Matthew John
Martenson, Matthew John is an sole proprietor health care provider with primary practice located at 2028 E 38Th St Ste 4 , Davenport IA 52807-1168. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Martenson, Matthew John can be contacted via phone (563) 424-2016.Contact Information
Primary practice address
2028 E 38Th St Ste 4
Davenport IA 52807-1168
Phone: (563) 424-2016
Fax: (563) 424-2017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 087950 | Iowa |
Profile Details
| NPI number | 1275088114 |
|---|---|
| LBN Legal business name | Martenson, Matthew John |
| Credentials | MSED, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2016 |
| Last updated | Jan 17th, 2024 - about last year |
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 | 1275088114 | NPPES |
| Iowa | MEDICAID | 1275088114 |
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