Martin, Abigail
Martin, Abigail is an individual health care provider with primary practice located at 7470 Cherry Ave Ste 111 , Fontana CA 92336-4272. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Martin, Abigail can be contacted via phone (909) 281-3600.Contact Information
Primary practice address
7470 Cherry Ave Ste 111
Fontana CA 92336-4272
Phone: (909) 281-3600
Fax: (909) 281-3610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 65036 | California |
Profile Details
| NPI number | 1316312002 |
|---|---|
| LBN Legal business name | Martin, Abigail |
| Credentials | R.PH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2015 |
| Last updated | Dec 7th, 2015 - about 9 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 | 1316312002 | NPPES |
| California | MEDICAID | 1417349978 |
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