Martin, Delbert Gary
Martin, Delbert Gary is an individual health care provider with primary practice located at 6822 East 1000 South , Fort Duchesne UT 84026. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Martin, Delbert Gary can be contacted via phone (435) 725-6874.Contact Information
Primary practice address
6822 East 1000 South
Fort Duchesne UT 84026
Phone: (435) 725-6874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 341687-1701 | Utah |
Profile Details
| NPI number | 1073627212 |
|---|---|
| LBN Legal business name | Martin, Delbert Gary |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Apr 5th, 2013 - about 11 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 | 1073627212 | NPPES |
| Utah | MEDICAID | 700000000009 |
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