Martin, Bennett Jay

Martin, Bennett Jay is an individual health care provider with primary practice located at 6969 Brockton Ave Suite B, Riverside CA 92506-3813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Martin, Bennett Jay can be contacted via phone (951) 686-3575.

Contact Information

Primary practice address
6969 Brockton Ave Suite B Riverside CA 92506-3813
Phone: (951) 686-3575
Fax: (951) 781-2194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G55791 California

Profile Details

NPI number 1780727891
LBN Legal business name Martin, Bennett Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780727891 NPPES
California MEDICAID 00G557910

Popular Providers