Martin, Daniel John

Martin, Daniel John is an sole proprietor health care provider with primary practice located at 15 Greenfield Ln , Hampton NY 12837-2106. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Martin, Daniel John can be contacted via phone (802) 291-4950.

Contact Information

Primary practice address
15 Greenfield Ln Hampton NY 12837-2106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356555643
LBN Legal business name Martin, Daniel John
Credentials MS LCMHC LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356555643 NPPES
Vermont MEDICAID 1008576

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