Martin, Brian Douglas

Martin, Brian Douglas is an individual health care provider with primary practice located at 92 Lodestone Way , Tooele UT 84074-8050. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Martin, Brian Douglas can be contacted via phone (435) 833-1900.

Contact Information

Primary practice address
92 Lodestone Way Tooele UT 84074-8050
Phone: (435) 833-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 544087 Utah

Profile Details

NPI number 1306557236
LBN Legal business name Martin, Brian Douglas
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - 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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